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Dr. Wilbur, a physician in your practice group, has recently retired. You have “

ID: 123762 • Letter: D

Question

Dr. Wilbur, a physician in your practice group, has recently retired. You have “inherited” several of his patients. You are seeing one today, Aaron Phillips, age 6, who is accompanied by his mom, Sally. Aaron is suffering from an URT infection. From the signs and symptoms, as well as the negative results from a rapid strep test, you conclude that it is a viral infection. You suggest to Sally some decongestants and antihistamines that are appropriate for Aaron to take to offset his symptoms. Sally becomes confused and a little upset and asks for antibiotics because that is what Dr. Wilbur “always prescribes when Aaron gets sick.”

How would you respond to Sally’s request for antibiotics? Provide patient education on what to do for worsening symptoms.

Explanation / Answer

According to the given situation Aaron is suffering from an URT (Upper respiratory tract) infection. It is a nonspecific infection that can be used to describe acute infections involving the nose, pharynx, larynx, paranasal sinuses, trachea and bronchi. Most of the URT infections are caused by viruses (rhinovirus, parainfluenza virus, coronavirus,and adenovirus).

Antibiotics are medicines used to treat or prevent some types of bacterial infections or diseases caused by bacteria. So antibiotics aren't effectively works against the viral infections, such as the common cold and flu.

Both the Antihistamines and decongestants are not completely cure allergies. But they will give relief for a runny or congested nose.

The Antihistamines mainly targets the histamine because during the allergic reaction body makes can histamine and it leads to allergy. So by using this we can reduce sneezing, itching, and runny nose.

Decongestants cut down on the fluid in the lining of your nose. That relieves swollen nasal passages and congestion.

So due to these reasons the physician Dr. Wilbur suggest to Sally decongestants and antihistamines that are appropriate for Aaron to take to offset his symptoms.

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