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iHuman Comprehensive Clinical Case Analysis & SOAP
Documentation: Amanda Wheaton – 23-Year-Old Female
Presenting with Severe Odynophagia Secondary to Acute
Group A Streptococcal Pharyngitis (GABHS)
, 2
General Patient Demographics & Baseline Data
• Name: Amanda Wheaton
• Age / Gender: 23-year-old female (DOB: 04/12/2003)
• Setting: Outpatient Urgent Care Clinic / Student Health Center
• Chief Complaint (CC): "My throat feels like it's on fire, and it hurts terribly when I try
to swallow."
• Vital Signs:
o Temperature: 38.7∘ C(101.6∘ F) (Febrile)
o Heart Rate: 102 bpm(Mild tachycardia secondary to fever/pain)
o Blood Pressure: 118/76 mmHg
o Respiratory Rate: 18 breaths/min
o Oxygen Saturation: 99% on room air
o BMI: 22.4 kg/m2
iHuman Comprehensive Clinical Case Analysis & SOAP
Documentation: Amanda Wheaton – 23-Year-Old Female
Presenting with Severe Odynophagia Secondary to Acute
Group A Streptococcal Pharyngitis (GABHS)
, 2
General Patient Demographics & Baseline Data
• Name: Amanda Wheaton
• Age / Gender: 23-year-old female (DOB: 04/12/2003)
• Setting: Outpatient Urgent Care Clinic / Student Health Center
• Chief Complaint (CC): "My throat feels like it's on fire, and it hurts terribly when I try
to swallow."
• Vital Signs:
o Temperature: 38.7∘ C(101.6∘ F) (Febrile)
o Heart Rate: 102 bpm(Mild tachycardia secondary to fever/pain)
o Blood Pressure: 118/76 mmHg
o Respiratory Rate: 18 breaths/min
o Oxygen Saturation: 99% on room air
o BMI: 22.4 kg/m2
