NR 509 Week 3 iHuman Virtual Patient Encounter Attempt 3924734 - Rebecca Fields
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History Notecard by Kristin Huley on case Rebecca Fields 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. Sx Sx Sx Sx HPI Sx = sore throat Sx =Fever =headache =swollen = = glands Onset 2 days ago 2 days ago 2 days ago 2 days agp Location both sides of neck Duration constant comes and constant goes Characteristics ice pick mild, dull Aggravating swallowing Relieving ice cream or acetaminophen acetaminophen helps Timing / acetaminophen acetaminophen acetaminophen Treatments Severity 10-11 mild Attempt: 3924734 Report generated on 5/24/2026, 1:54:04 PM America/Denver Management Plan by Kristin Huley on case Rebecca Fields Diagnostic test: Group A Streptococcal rapid antigen test, Influenza PCR (nasal swab), COVID-19 PCR (swab) Medication: Amoxicillin 500mg tablets one tablet by mouth twice a day for 10 days (Hamilton & McCrea, 2024) OTC Nonsteroidal anti-inflammatory drugs or Acetaminophen (Tylenol) as needed for pain, fever (Hamilton & McCrea, 2024). Medicated throat lozenges and topical anesthetics can be used to help relieve local pain (Hamilton & McCrea, 2024). Referrals: None at this time Education: Until fever has resolved and at least 12 hours have elapsed since starting antibiotic patient should stay home from school, work or daycare(Hamilton & McCrea, 2024). Follow up: Patients should be reevaluated if their symptoms worsen after taking the prescribed medication or if they persist for five days after beginning treatment (Hamilton & McCrea, 2024). References Hamilton, J. L., & McCrea Ii, L. (2024). Streptococcal Pharyngitis: Rapid Evidence Review. American family physician, 109(4), 343–349. Attempt: 3924734 Report generated on 5/24/2026, 1:54:04 PM America/Denver Social History Category Data entered by Kristin Huley Social History Denies smoking. Drinks alcohol socially with law school friends average 2-3 drinks per week Review of Systems Category Data entered by Kristin Huley General Reports being overall fine and healthy Integumentary / Breast Not assessed HEENT / Neck Reports headache, sore throat, swollen/tender neck glands and difficulty swallowing. Denies nasal congestion. Cardiovascular Denies chest pain and palpitations. Respiratory Denies cough and shortness of breathe Gastrointestinal Reports pain when swallowing. Denies nausea/vomiting Genitourinary Denies pain and difficulty urinating Musculoskeletal Denies generalized weakness Allergic / Immunologic Denies any known allergies. Reports did not get influenza vaccine this season Endocrine Reports use of contraceptive pills Hematologic / Lymphatic Reports swollen neck glands Neurologic Reports headache Psychiatric Denies feeling depressed, hopeless
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