A 23 year old male presents to your office for green sinus d…
A 23 year old male presents to your office for green sinus drainage for the past 5 days. He complains of severe congestion, runny nose, watery/itchy eyes, mild cough and a stuffy nose. He denies any past medical history except for smoking. His vital signs are as follows: T 98.6, HR 88, RR 13, BP 114/70, Pulse Ox 100% on RA. On exam, you note there is bilateral injected conjunctiva, PERRLA, EOMI. He has green thin mucus in the posterior pharynx but no edema or erythema. His nasal turbinates are pale and boggy but non-tender. The remainder of his exam is normal. He reports that he must get rid of these symptoms because he has a work presentation and does not have time to be sick. Currently, he has not taken any medication for his symptoms. He denies any medication allergies. What would you recommend and/or prescribe?