NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3545005 - Marvin Webster
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History Notecard by Jorri Sparks on case Marvin Webster Use this worksheet to organize your thoughts before developing a differential diagnosis list. 1. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. 2. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. 3. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx Sx Sx Sx =HA Sx =s =cough=myalgia=fatigue thro Onset 4 days Location general Duration Characteristics ra bla Aggravating Relieving ibuprofen ibupro Timing / wa Treatments drin ste Severity Attempt: 3545005 Report generated on 5/17/2025, 5:27:14 PM America/Denver Management Plan by Jorri Sparks on case Marvin Webster Plan: Diagnostic Tests: influenza PCR nasal swab, SARS-CoV-2 antigen test (CDC, 2023a). Medications: Acetaminophen 650 mg PO every 6 hours as needed for fever, myalgias, and headache. Do not exceed 4,000 mg in 24 hours (Mayo Clinic, 2023a). Ibuprofen 400 mg PO every 4-6 hours as needed for fever, myalgias, and headache. Do not exceed 3,200 mg in 24 hours (Mayo Clinic, 2023b). Patient reports he is already taking and may continue current regimen within the correct dosing limit. Dextromethorphan 30 mg PO every 4 hours as needed for cough. Do not exceed 120 mg in 24 hours (MedlinePlus, 2022). Suggested Consults/Referrals: No referrals or consults are indicated at this time. Client Education: Educate the patient on the use of over-the-counter medications (acetaminophen, ibuprofen, and dextromethorphan) for symptomatic relief (CDC, n.d.; Mayo Clinic, 2023a, 2023b; MedlinePlus,2022). Advise rest, hydration, and avoidance of close contact until afebrile for at least 24 hours to minimize transmission. Wash hands with soap and water frequently and cover mouth with sneezes (CDC, n.d.). Centers for Disease Control and Prevention. (2023b). Influenza antiviral medications: Summary for clinicians. https://www.cdc.gov/flu/professionals/antivirals/summary- clinicians.htm Centers for Disease Control and Prevention. (2023c). Influenza (flu): Flu Complications. https://www.cdc.gov/flu/signs- symptoms/index.html Centers for Disease Control and Prevention. (2024a). Key facts about seasonal flu vaccine. https://www.cdc.gov/flu/prevent/keyfacts.htm Centers for Disease Control and Prevention. (2024b). Stay up to date with COVID-19 vaccines. https://www.cdc.gov/coronavirus/ 2019-ncov/vaccines/stay-up-to- date.html Mayo Clinic. (2023a). Acetaminophen (oral route) – Proper use. https://www.mayoclinic.org/drugs-supplements/acetaminophen- oral-route/proper-use/drg-20068480 Mayo Clinic. (2023b). Ibuprofen (oral route) – Proper use. https://www.mayoclinic.org/drugs-supplements/ibuprofen-oral- route/proper-use/drg-20070602 MedlinePlus. (2022). Dextromethorphan. U.S. National Library of Medicine. https://medlineplus.gov/druginfo/meds/a682492.html Nypaver, C., Dehlinger, C., & Carter, C. (2021). Influenza and Influenza Vaccine: A Review. Journal of Midwifery & Women’s Health, 66(1), 45–53. https://doi.org/10.1111/jmwh.13203 Attempt: 3545005 Report generated on 5/17/2025, 5:27:14 PM America/Denver Social History Category Data entered by Jorri Sparks Social History Reports drinking beer occasionally, denies tobacco use Review of Systems Category Data entered by Jorri Sparks General Pt reports overall health excellent Integumentary / Breast Did not assess HEENT / Neck Pt reports sore throat, headache, denies runny nose Cardiovascular Denies Chest pain Respiratory Pt reports
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