,1
, 2
HPI:
Camilla Franklin is an 48 year old female who recently had the influenza virus two weeks ag
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o which resolved, and today presents with a four day history of sudden onset fever 103.2, wi
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th chills, rigors, myalgia, productive cough without wheezing, fatigue, and sharp right sided
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pleuritic chest pain that is aggravated with coughing and breathing. He reported a fever of 104 la
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st night and took OTC Ibuprofen with no significant improvement in his symptoms. He
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complains of a productive cough with green/yellow sputum with no relief after taking cough sy
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rup. Pt denies any recent travel or sick contacts. Patient reports he takes no daily prescription me
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dications or additional OTC medications.
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ROS:
Constitutional: Positive for fever, chills, rigor, fatigue. Negative for appetite change, diaphoresis.
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HEENT: Positive for swollen glands; negative for headache, sore throat and difficulty swallowing
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v Respiratory: Positive for dyspnea, productive green/yellow sputum, and shortness of breath,
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negative for wheezing rv rv
Cardiovascular: Positive for right sided chest wall pain (6- rv rv rv rv rv rv rv rv
8th intercostal spaces at midaxillary line), negative for leg swelling
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Gastrointestinal: Negative for rectal bleeding, blood in stool, constipation, diarrhea, nausea or vomit
rv rv rv rv rv rv rv rv rv rv rv rv
ing
Endocrine: Negative for polydipsia and polyuria
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Genitourinary: Negative for decreased urine production, menstrual problem, pelvic pain, urgenc
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y or vaginal discharge
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, 2
HPI:
Camilla Franklin is an 48 year old female who recently had the influenza virus two weeks ag
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
o which resolved, and today presents with a four day history of sudden onset fever 103.2, wi
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
th chills, rigors, myalgia, productive cough without wheezing, fatigue, and sharp right sided
rv rv rv rv rv rv rv rv rv rv rv rv
pleuritic chest pain that is aggravated with coughing and breathing. He reported a fever of 104 la
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
st night and took OTC Ibuprofen with no significant improvement in his symptoms. He
rv rv rv rv rv rv rv rv rv rv rv rv rv
complains of a productive cough with green/yellow sputum with no relief after taking cough sy
rv rv rv rv rv rv rv rv rv rv rv rv rv rv
rup. Pt denies any recent travel or sick contacts. Patient reports he takes no daily prescription me
rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv rv
dications or additional OTC medications.
rv rv rv rv
ROS:
Constitutional: Positive for fever, chills, rigor, fatigue. Negative for appetite change, diaphoresis.
rv rv rv rv rv rv rv rv rv rv rv rv
HEENT: Positive for swollen glands; negative for headache, sore throat and difficulty swallowing
rv rv rv rv rv rv rv rv rv rv rv rv r
v Respiratory: Positive for dyspnea, productive green/yellow sputum, and shortness of breath,
rv rv rv rv rv rv rv rv rv rv
negative for wheezing rv rv
Cardiovascular: Positive for right sided chest wall pain (6- rv rv rv rv rv rv rv rv
8th intercostal spaces at midaxillary line), negative for leg swelling
rv rv rv rv rv rv rv rv rv
Gastrointestinal: Negative for rectal bleeding, blood in stool, constipation, diarrhea, nausea or vomit
rv rv rv rv rv rv rv rv rv rv rv rv
ing
Endocrine: Negative for polydipsia and polyuria
rv rv rv rv rv
Genitourinary: Negative for decreased urine production, menstrual problem, pelvic pain, urgenc
rv rv rv rv rv rv rv rv rv rv
y or vaginal discharge
rv rv rv
