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NR509 Week 5 i-Human Virtual Patient Encounter Felipe Garcia (Solved)

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Escrito en
2024/2025

NR509 Week 5 i-Human Virtual Patient Encounter Felipe Garcia (Solved)

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Subido en
11 de febrero de 2025
Número de páginas
5
Escrito en
2024/2025
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Caso
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NR509 Week 5 i-Human Virtual Patient Encounter Felipe Garcia




NR509 Week 5 i-Human Virtual Patient Encounter Felipe
Garcia (Solved)

, NR509 Week 5 i-Human Virtual Patient Encounter Felipe Garcia




(Solved) NR509 Week 5w i-Human Virtual Patient Encounter Felipe Garcia

Mr. Garcia is a 38-year-old male who comes to the clinic complaining of fatigue and flu-like symptoms for
the past two weeks. He reports that his temperature has been elevated to 37°C and has reduced energy
levels and a poor appetite. He has also developed a rash on his chest and his body feels especially achy.
Mr. Garcia is generally feeling quite unwell.



Medical history: Mr. Garcia is generally healthy, with no significant medical history to report. In the past
he has suffered from occasional episodes of sinus infections. Medications: Mr. Garcia takes over-the-
counter ibuprofen and paracetamol for pain relief as needed.



Clinical examination: Mr. Garcia is generally swollen and feels especially tender on examination around
his chest area. His temperature is 37°C and he has a diffuse red rash on his torso and upper arms. He also
has mild conjunctival injection and enlarged, tender cervical lymph nodes. Laboratory tests: A full blood
count reveals an elevated white blood cell count of 15 x 109/L (normal range 4-10 x 109/L) with 80%
neutrophils (normal range 40-75%).

Differential diagnosis: Based on the clinical information, Mr. Garcia likely has a viral infection, possibly
influenza or another type of respiratory virus. However, further testing would be required to confirm this
diagnosis definitively. Other possible diagnoses include bacterial pneumonia or meningitis, although
these are less likely based on the current presentation.



Treatment: Mr Garcia is started on a course of oral antibiotics for suspected bacterial infection and
advised to rest at home and drink plenty of fluids. He is also given a prescription for an antiviral
medication in case his symptoms worsen or do not improve with the antibiotics. Mr. Garcia is scheduled
for a follow-up appointment in two days.



SOAP note:



Subjective:



Mr. Garcia presents to the clinic with fatigue, flu-like symptoms, and a diffuse red rash on his torso and
upper arms. He reports that his temperature has been elevated to 37°C and he has reduced energy
levels and a poor appetite. He is generally feeling quite unwell.



Objective:




NR509 Week 5 i-Human Virtual Patient Encounter Felipe Garcia (Solved)
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