to each question, while using scholarly articles and the required text: Woo, T. M.
HISTORY John is a 24-year-old who presents to urgent care with a 2 week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough of green mucous and has green nasal discharge. He says that he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known drug allergies. PHYSICAL EXAM Vital signs are stable and temperature is 99.9°F. Tympanic membranes (TMs) are clear bilaterally, pharynx is pink with no exudate, he has greenish postnasal drainage, turbinates are swollen and red, there is tenderness when frontal sinuses palpated, there is no cervical adenopathy, and lungs are clear. 1. What additional information (e.g., clinical findings, laboratory test results) will confirm the diagnosis? 2. What are your differential diagnoses for this patient? 3. What is the likely diagnosis? 4. What is(are) the desired treatment outcome(s)? 5. For infectious diseases: what are the suspected pathogens for this type of infection in this patient? 6. What are the desired treatment outcome(s)? 7. What non-pharmacological therapy would you recommend? 8. How would your pharmacotherapeutic plan differ, based on special population patients (such as children, obstetrics, geriatrics, etc)? 9. What pharmacotherapeutic plan (include prescription and non-prescription drugs) would you design for this patient? Rationale for pharmacotherapy to include mechanism(s) of action list drug(s), dose, route of administration, frequency, duration of treatment and one monitoring parameter. 10. What are the clinically significant adverse effects and drug interactions for the agents discussed? 11. How will you monitor the patient’s response to therapy? 12. How will you counsel your patient about the pharmacotherapeutic plan?
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