Rotations 2.0 Episode 16 Common Cold

Episode 16 Common Cold

Shoot me any comments or questions @Rotation2ptoh  on X

Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Rainbow by Mood Mode

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

“Who Moved my Cheese,” Spencer Johnson, 1998

https://en.wikipedia.org/wiki/Who_Moved_My_Cheese%3F

Questions and Answers from Episode 15 

Question 1: 

 A 32-year-old healthy female presents to your clinic with a 5-day history of cough that started as dry but has become productive of yellow sputum over the past 2 days. She denies fever or shortness of breath. Her vital signs are normal  and her chest examination reveals no crackles or wheezing. There are no current outbreaks of influenza or COVID-19 in the area. What is the most appropriate management for this patient? 

 D. Reassure the patient that antibiotics are not necessary and provide symptomatic relief 

Question 2: 

 A 68-year-old male with a history of COPD and heart failure presents with cough productive of purulent sputum, fever (38.5°C), shortness of breath on exertion, and pleuritic chest pain for 3 days. His vital signs include a heart rate of 102/min, respiratory rate of 24/min, blood pressure of 110/70 mmHg, and oxygen saturation of 92% on room air. Chest examination reveals crackles in the right lower lobe. After evaluation using clinical prediction tools (CURB-65 score of 1), it is determined that he can be managed as an outpatient. What is the most appropriate antibiotic regimen for this patient? 

 D. Amoxicillin-clavulanate plus azithromycin 

Question 3: 

 A 70-year-old male with hypertension and type 2 diabetes presents to your clinic with a 3-day history of fatigue, cough, headache, and loss of smell (anosmia). He has no shortness of breath or chest pain. His vital signs are stable (temperature 37.2°C, heart rate 88/min), and his oxygen saturation is 96% on room air. A rapid antigen test for SARS-CoV-2 is positive. What is the most appropriate treatment for this patient as an outpatient? 

 B. Ritonavir-boosted nirmatrelvir (Paxlovid)
 

Correct Answer: B 

Paper for next week

Timothy M Uyeki, David S Hui, Maria Zambon, David E Wentworth, Arnold S Monto, Influenza, the lancet, Vol 400 August 27, 2022

Rotations  2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the material AND AND AND you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSS.

Rotations 2.0 is made possible by the generous understanding and accommodation of my beloved institution, Ohio University. The comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency.

Listeners interested in specifics from the paper authors should contact them directly through their respective institutions.

Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.