I HUMAN Jake Mason CASE STUDY EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

I HUMAN Jake Mason CASE STUDY EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS Doorway information Name: Jake Mason. DOB: August 14th. Age: 18-months-old. Gender: Male. Primary language: English. Admitting care provider: Emily Michaels, MD. MRN: 7821478. Your patient today is Jake Mason, an 18-month-old male. Jake presents with a two- day history of congested coughing with a thick yellow sputum expectorated. His cough is worse at night. His father has brought him to the urgent care clinic for treatment. Orders (Health Care Provider) Admission Orders Physician/Unit: Dr. Michels/Urgent Care. Diagnosis: Cough Condition: Stable. Vitals: Once. Allergies: No known. Medications: Dr. Micahels will be in shortly to see the patient. Admitting Notes (Health Care Provider) Admitting Notes (Health Care Provider)Reason for Encounter: Cough with a thick sputum expectorated. HPI: Jake Mason is an 18-month-old male with a two-day history of congested coughing with a thick, yellow sputum expectorated. The patient's cough is worse at night. His father has brought him to the urgent care clinic for treatment. Other Concerns: None. Med surg: • Gestational age at birth (37 weeks). • No past hospitalizations or surgeries. Medications: Over-the-counter medications: acetaminophen, vitamin C. Allergies: No known. FH: Fathers: 33 and 35; both in good health. Siblings: 5-year-old brother, in good health + seasonal allergies. Other familial diseases: none on record. SH: Lives at home with fathers and brother. One father smokes at home. Preventive Health: Fitness: Active; runs, walks. Nutrition: Formula until age one. Eats solid foods; drinks from a sippy cup. Immunizations: Up to date per CDC guidelines.