Snapshot A 22-year-old male presents to the walk-in clinic with complaints of mild fever, rhinorrhea, dry cough and fatigue for the past five days. His roommate had similar symptoms a week ago. (Rhinovirus) A 53-year-old female presents to the urgent care clinic with a week history of headache, nasal congestion, and sore throat. She denies fever, cough, nausea, vomitting, and diarrhea. There is no history of sick contacts. She has a 30-pack-year history of cigarette smoking. Patient has tried OTC acetaminophen and pseudoephedrine without any relief. (Coronavirus or Parainfluenza virus) Introduction Viral upper respiratory infection rhinovirus responsible for up to 40% of cases coronavirus parainfluenza virus Distinct from influenza bacterial pharyngitis acute bronchitis acute bacterial sinusitis allergic rhinitis pertussis Presentation Symptoms nasal congestion rhinorrhea sneezing sore throat cough low grade fever headache malaise Illness typically lasts up to 1.5 weeks three days longer in smokers Evaluation Differentiate from similar illnesses as follows simple rhinitis does not have sore throat and cough bacterial pharyngitis does not have rhinorrhea and nasal congestion influenza has high fever pertussis has paroxysmal coughing Treatment Antibiotics are not needed Symptomatic treatment only