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Jessica Martinez is a 35-year-old woman scheduled

Jessica Martinez is a 35-year-old woman scheduled for an episodic visit for cold symptoms. She was seen in your office five years ago. Since then, she has been followed by her women’s health nurse practitioner (NP). three Differential Diagnosis and Treatment Plan “I’ve had this cold for three to four days. My kids have it also. I’m going to be traveling on an airplane in two days and I’m worried about how I’ll feel when flying. When I flew a few years ago, my ears really hurt and I didn’t have a cold then. I’ve been taking some acetaminophen and Sudafed with some relief. I’ve been reading about Echinacea and vitamin C. Do you think either would help? How much should I take?” The patient complains of copious, clear to yellow nasal discharge, head stuffiness, sneezing, mild cough, and occasional mild headache “all over.” She denies fever, frontal or maxillary pain, ear pain, or dental pain. She has been able to work and attend all other activities without interruption.

 
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