She has a PPD of 15 mm with a normal chestx-ray. A PPD last year was negative. He takes no medications and has a noncontributory medical history. He has had no fevers, chills, ear pain, or pleurisy. Ear examination shows bilateral air-fluid levels, mobile drums, and no drum erythema.
Chest is clear to auscultation and percussion.
There is no hepatosplenomegaly. Bacterial pneumonia Serous otitis media 3-A 50 year old woman presents for persistent vaginal itch. She has been sexually inactive since then, but she has a brand new boyfriend now. She took two courses of clotrimazole suppositories with no relief. On pelvic exam, there is pain with insertion of the speculum.