Check your steering knuckle nuts. If you look at the inside of the front tires, they are the 4 nuts on the lowest part of the knuckle. Easy to check without jacking the truck up. If they're loose or missing it's a major safety issue and you shouldn't drive it until it's fixed. Start looking into the front knuckle/bearing job since it's a general maintenance item and it may have been a while since it's had one.
The drip on your front axle could be power steering fluid. Check lines, etc.
Beyond all the normal maintenance, I'd do an EGR delete or bypass. It can toast the engine harness that runs near the EGR pipe, and many agree that it contributes to head gasket failures at the rear cylinder. I used the Hudd Expo kit but there are also DIY methods.
The drip on your front axle could be power steering fluid. Check lines, etc.
Beyond all the normal maintenance, I'd do an EGR delete or bypass. It can toast the engine harness that runs near the EGR pipe, and many agree that it contributes to head gasket failures at the rear cylinder. I used the Hudd Expo kit but there are also DIY methods.