FATIGUE AND COUGH DUE TO VIRAL RESPIRATORY
INFECTION
, Patient Profile
• Name: Marvin Webster
• Age: 18-year-old male
• Background: College student with a history of childhood asthma (no recent exacerbations).
• Chief Complaint: “Fatigue and cough.”
History of Present Illness (HPI)
Marvin reports:
• Symptom onset: ~4 days ago.
• Symptoms:
o Dry (nonproductive) cough
o Fatigue (severe—described like being “run over by Shaquille O’Neal”)
o Sore throat
o Headache
o Myalgias (body aches)
o Chills
o Report of sick contact (roommate with similar symptoms)
• Vaccination status: Has not received the annual influenza vaccine or a recent COVID-19
booster.
ROS highlights:
• General: Severe fatigue, malaise
• HEENT: Sore throat, headache, mild ear discomfort (varies by report)
• Respiratory: Dry cough, denies significant shortness of breath
• No chest pain, nausea/vomiting, or significant GI symptoms reported (in core case
summaries).
Physical Examination
• Vital signs:
o Fever: ~101°F (38.3°C)
o Tachycardia: HR ~108 bpm
o SpO₂: ~98% on room air (per some summaries)