NR 603 Week 5 iHuman Virtual Patient Encounter and Reflection - Charlie Harris - Attempt 3874902

History Notecard by Amanda Martin on case Charlie Harris 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: 3874902 Report generated on 4/2/2026, 3:59:09 PM America/Denver Management Plan by Amanda Martin on case Charlie Harris Diagnostics: - Complete blood count (CBC), blood - Comprehensive metabolic panel (CMP) - Chest X-ray, PA, and lateral Medications: Rx: Trimethoprim-sulfamethoxazole DS (Bactrim) TMP 160 mg / SMX 800 mg tablet Sig: Take 2 tablets by mouth three times daily for 21 days (Truong & Ashurst, 2023). Take with a full glass of water and may take with food to reduce stomach upset. Dispense: 126 tablets Refills: 0 Rx: Prednisone 20 mg tablet Sig: Take 2 tablets (40 mg) by mouth twice daily for 5 days, then take 2 tablets (40 mg) by mouth once daily for 5 days, then take 1 tablet (20 mg) by mouth once daily for 11 days (Epocrates, 2026). Take with food. Dispense: 31 tablets Refills: 0 Supplemental Oxygen Supplemental O2 titrate to maintain SpO₂ above 92% during hospitalization. Referrals: - Immediate transport to the ED due to hypoxia. - Infectious Disease/HIV Specialist for collaboration and management of acute illness and ongoing HIV management and coordination of ART reinitiation after stabilization of vitals (La Via et al., 2025). Education: Educate the patient to take all medications exactly as prescribed and complete the full course of antibiotic therapy. Counsel on smoking cessation and emphasize the avoiding tobacco while ill to protect lung function and reduce airway irritation in immunocompromised individuals (Konstantinidis et al., 2023). After hospital discharge, stress the importance of engaging in specialized HIV care and restarting and maintaining ART therapy to prevent future opportunistic infections (Konstantinidis et al., 2023). Discuss the risks of using medications not prescribed to him and instruct him to seek emergency care immediately for worsening shortness of breath, chest pain, confusion, cyanosis, or persistent/worsening fever. Follow Up: - PCP within 1-2 days after hospital discharge for assessment of symptoms, oxygenation status, and response to treatment. - Infectious Disease/HIV Specialist within 1 week after discharge for ongoing HIV management, evaluation for ART reinitiation, and monitoring for opportunistic infection recovery (La Via et al., 2025). References Epocrates. (2026). prednisone: Dosing, contraindications, side effects, and pill pictures - epocrates online. Www.epocrates.com. https://www.epocrates.com/online/drugs/273/prednisone#adult-dosing. Konstantinidis, I., Crothers, K., Kunisaki, K. M., Drummond, M. B., Benfield, T., Zar, H.