MKSAP: 32-year-old man with cough and nasal congestion

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 32-year-old man is evaluated for a 3-day history of productive cough, sore throat, coryza, rhinorrhea, nasal congestion, generalized myalgia, and fatigue. His sputum is slightly yellow. His two children (ages 3 years and 1 year) had similar symptoms 1 week ago. He is a nonsmoker and has no history of asthma. On physical examination, temperature is 37.5 °C (99.4 °F), blood pressure is 128/76 mm Hg, pulse rate is 92/min, and respiration rate is 14/min. There is bilateral conjunctival injection. The nasal mucosa is boggy, with clear drainage. The oropharynx is erythematous without tonsillar enlargement or exudates. The tympanic membranes and external auditory canals are normal. Lungs are clear to auscultation. There is no rash or lymphadenopathy. Which of the following is the most appropriate treatment? A: Albuterol B: Amoxicillin C: Chlorpheniramine D: Codeine Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Primary care Source Type: blogs