PRESENTING WITH FATIGUE AND COUGH AT AN OUTPATIENT
CLINIC WITH X RAY ECG AND LABORATORY CAPABILITIES
UTILIZING SYSTEMATIC HISTORY-DRIVEN DIAGNOSTIC
REASONING COMPREHENSIVE PHYSICAL ASSESSMENT
DIFFERENTIAL DEVELOPMENT AND EVIDENCE-BASED
MANAGEMENT IN A SIMULATED CLINICAL EDUCATIONAL SETTING
,PATIENT INFORMATION
• Age: 18 years
• Sex: Male
• Height: 6′0″ (183 cm)
• Weight: 185 lb (84.1 kg)
• Location: Outpatient clinic with X-ray, ECG, and laboratory capabilities
• Reason for Encounter: Fatigue and cough
Explanation: Marvin Webster is an 18-year-old male college student presenting with several
days of fatigue and persistent cough, requiring a structured clinical evaluation to identify the
underlying cause and guide appropriate management.
, REASON FOR ENCOUNTER
Element Description
Encounter Type Outpatient clinical evaluation
Chief Complaint Fatigue and cough
Duration Approximately 4–7 days
Frequency Persistent, daily
Associated Symptoms Mild headache, sore throat
Aggravating Factors Nighttime, prolonged talking
Relieving Factors Rest, hydration
Systemic Symptoms Denies chest pain or dyspnea at rest
Patient Goals Determine cause of symptoms and obtain relief