NR 509 Week 2 i-Human Virtual Patient Encounter Practice Case and Self-Assessment Attempt 3788274 - Marvin Webster
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History Notecard by Lynna Hallam 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 = Sx = Sx = Onset Location Duration Characteristics Aggravating Relieving Timing / Treatments Severity Attempt: 3788274 Report generated on 1/15/2026, 5:25:26 PM America/Denver Management Plan by Lynna Hallam on case Marvin Webster Management Plan Diagnostic tests: COVID antigen and influenza PCR Medications: Oseltamivir (Tamiflu) 75mg: Take one tablet twice daily for 5 days to reduce symptoms of influenza. #10 no refills. Oseltamivir is the current medication of choice to ease symptoms of influenza and detrease the amount of illness days (World Health Organization, 2024) OTC: Alternate Tylenol 500mg 1-2 tabs PO and ibuprofen 200mg 3-4 tabs PO for fever and pain every 6-8hrs FDA- approved for use as antipyretic, anti-inflammatory, and analgesic agents (Ghlichloo & Gerriets, 2023) Consults/Referrals: None Education: Yearly influenza vaccines can decrease chances of getting the flu, frequent hand hygiene, rest and staying hydrated. (Jefferson et al., 2014) Follow up: Follow up in a week to make symptoms are improving (Klein et al., 2016). Follow up sooner or seek urgent care if you develop a high fever that cannot be managed by acetaminophen and ibuprofen (greater than 101F), worsening cough with mucus production, shortness of breath or chest pain(Klein et al., 2016). References Ghlichloo, I., & Gerriets, V. (2023). Nonsteroidal anti-inflammatory drugs (nsaids). National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK547742/ Jefferson, T., Jones, M., Doshi, P., Spencer, E. A., Onakpoya, I., & Heneghan, C. J. (2014). Oseltamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments. BMJ (Clinical Research Ed.), 348, g2545. https://doi.org/10.1136/bmj.g2545 Klein, E. Y., Monteforte, B., Gupta, A., Jiang, W., May, L., Hsieh, Y.-H., & Dugas, A. (2016). The frequency of influenza and bacterial coinfection: a systematic review and meta-analysis. Influenza and Other Respiratory Viruses, 10(5), 394–403. https://doi.org/10.1111/irv.12398 World Health Organization. (2024). Clinical practice guidelines for influenza. World Health Organization. https://www.who.int/publications/i/item/9789240097759 Attempt: 3788274 Report generated on 1/15/2026, 5:25:26 PM America/Denver Review of Systems Category Data entered by Lynna Hallam General well appearing, alert and interactive No distress, flushed or diaphoretic Integumentary / Breast HEENT / Neck ST x4 days, constant and feels like razor blades, tried warm beverages and ibuprofen w/ minimal relief Denies dysphagia Eyes: PERRL Cardiovascular denies CP or palpitations Respiratory Cough x4 days, dry, non-productive Denies SOB Gastrointestinal Denies N/V or diarrhea Genitourinary Musculoskeletal Body aches Denies pain or
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