Rotations 2.0 Episode 20 Obstructive Sleep Apnea

Episode 20 OSA

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Whip Afro Dance Hall Music by Prazkhanal

Courtesy of Pixabay for non-commercial educational use 

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 19 

Question 1: Diagnosis and Testing

A 28-year-old woman presents with a 2-year history of nasal congestion, sneezing, and watery eyes that worsen in the spring and fall. She has no known food allergies and denies asthma. Physical exam reveals pale, boggy nasal mucosa and allergic shiners. Which of the following is the most appropriate next step to confirm the diagnosis?

 B. Perform skin prick testing
 
 Question 2: Pharmacologic Management

A 35-year-old man with moderate persistent allergic rhinitis has been using cetirizine daily with minimal relief. He reports nasal congestion and postnasal drip that interfere with sleep. What is the most appropriate next step in management?

 C. Start an intranasal corticosteroid
 
 Question 3: Immunotherapy Indications

A 22-year-old college student with seasonal allergic rhinitis has tried intranasal corticosteroids and oral antihistamines with limited benefit. She is interested in a long-term solution. Which of the following is the most appropriate indication for initiating allergen immunotherapy?

 C. Persistent symptoms despite optimal pharmacologic treatment

Paper for next week

Sean P. F. Foley * and John Scott Parrish, Pleural Space Infections, Life 2023, 13, 376.

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