WEBSTER PRESENTING WITH FATIGUE, COUGH, FEVER,
AND MYALGIAS AT OUTPATIENT URGENT CARE CLINIC
UTILIZING SYSTEMATIC RESPIRATORY ASSESSMENT AND
EVIDENCE-BASED DIAGNOSTIC MANAGEMENT
,PATIENT INFORMATION
Age: 18 years
Sex: Male
Height: 6′0″ (183 cm)
Weight: 185 lb (84.1 kg)
Location: Outpatient urgent care clinic
Reason for Encounter: Fatigue and cough
Explanation: The patient is an 18-year-old male presenting with acute onset fatigue and cough
associated with systemic flu-like symptoms requiring respiratory and infectious disease
evaluation.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Urgent care outpatient visit
Chief Complaint Fatigue and cough
Duration 4 days
Frequency Persistent
Associated Symptoms Fever, sore throat, myalgias
Aggravating Factors Physical activity
Relieving Factors Rest, fluids
Systemic Symptoms Malaise, chills
Patient Goals Symptom relief and diagnosis
Explanation: Marvin presents with 4 days of worsening fatigue and cough accompanied by
fever, sore throat, and muscle aches impacting daily functioning.