PRESENTING WITH FEVER AND SORE THROAT AT
OUTPATIENT URGENT CARE CLINIC UTILIZING
SYSTEMATIC HISTORY-DRIVEN ASSESSMENT,
DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-BASED
MANAGEMENT
,PATIENT INFORMATION
Age: 25 years
Sex: Female
Height: 5′6″ (168 cm)
Weight: 145 lb (65.8 kg)
Location: Outpatient urgent care clinic
Reason for Encounter: Fever and sore throat
Explanation: The patient is a 25-year-old female presenting to the urgent care clinic with acute
onset of sore throat, fever, and associated upper respiratory symptoms, prompting evaluation for
infectious causes and symptom management.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Urgent care outpatient visit
Chief Complaint Fever and sore throat
Duration 3 days
Frequency Constant
Associated Symptoms Headache, fatigue, mild cough
Aggravating Factors Swallowing, talking
Relieving Factors Rest, fluids
Systemic Symptoms Low-grade fever, malaise
Patient Goals Diagnosis and relief of symptoms
Explanation: Jenna presents with 3 days of sore throat and fever accompanied by fatigue,
headache, and mild cough. Symptoms interfere with eating and daily activities, prompting
clinical evaluation and treatment.