Allergic Rhinitis testing
Specific IgE testing (blood or skin) should be performed for patients with a
clinical diagnosis of AR who do not respond to empiric treatment, or when
diagnosis is uncertain, or when determination of specific target allergen is
needed. (allergy panel)
,2. Sinusitis (Maxillary) Assessment findings
Viral <10 days- treat symptomatically with NSAIDs, Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion,
halitosis, periorbital edema
Allergic Rhinitis non pharm
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avoid triggers such as allergens or environmental
Asthma diagnostics
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PFT spirometry, peak flow monitoring
Low back pain pharm
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non pharm is first line
NSAIDs first line for pharm
, Naproxen 250mg BID
Flexiril 5mg PRN 3x/day
UTI older adult symptoms
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New onset of confusion
fatigue
Acute laryngopharyngitis presentation (Virus)
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fever, cough, nasal congestion, hoarseness, diarrhea, viral rash
HTN non pharm
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Lifestyle modification: weight loss, smoking/alcohol cessation, healthy diet,
and sodium reduction
Maintain BP log 2x/ daily and bring to next f/u
UTI non pharm/preventative
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