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iHuman Clinical Case Study: Marvin Webster – Acute Viral Respiratory Infection in a College Student

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This detailed iHuman case study follows Marvin Webster, an 18-year-old college student presenting with fatigue, dry cough, sore throat, and fever. Developed for clinical reasoning and exam preparation, this case covers history taking, physical examination, differential diagnosis, diagnostic workup, and evidence-based management of an acute viral respiratory infection. Includes key teaching points on supportive care, immunization history, patient education, and when to escalate care. Ideal for medical, nursing, and physician assistant students preparing for clinical simulations, OSCEs, or board-style questions on respiratory illness.

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Uploaded on
January 5, 2026
Number of pages
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Written in
2025/2026
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IHUMAN CASE STUDY: MARVIN WEBSTER – ACUTE
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)
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