I would rather have a patient with a stab wound to the chest than a patient with a serious underlying problem who just wants antibiotics and a quick evaluation. Is there a way to tease out benign-
appearing patients who are “pre-crump?”

This month’s case is that very patient—a raindrop in a torrent of mucus and purulent drainage.

The Case of a 21-year-old Woman with Sinus Pain
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