iHuman case Study Amanda Wheat/Top Score

1. How Can I help you today? 2. Do you have any other symptoms or concerns we should discuss? 3. When did your sore throat start? 4. How severe is your sore throat? 5. Have you been having fevers? 6. Do you have a c ...

1. How Can I help you today? 2. Do you have any other symptoms or concerns we should discuss? 3. When did your sore throat start? 4. How severe is your sore throat? 5. Have you been having fevers? 6. Do you have a cough? 7. Do you have any allergies, such as medications, food and or latex for example? 8. Have you had any contact with other sick people? 9. Do you have any problems with headaches that don’t go away with aspirin or Tylenol, double or blurred vision, difficulty with night vision, problems hearing, ear pain, sinus problems, chronic sore throats, difficulty swallowing? 10. Do you have a problem swallowing? 11. Does anything make your sore throat better or worse? 12. Have you had a flu shot? 13. Are you sexually active? 14. Do you experience chest pain discomfort or pressure; pain/pressure/dizziness with exertion or getting angry; palpitations; decreased exercise tolerance; blue/cold fingers and toes? 15. Do you experience: Shortness of breath, wheezing, difficulty catching your breath, chronic cough, sputum production? 16. Any new medical issues or diagnoses since your last visit? 17. Do you perform or receive oral sex? 18. Do you have problems with: muscle or joint pain, redness, swelling, muscle cramps, joint stiffness, joint swelling, or redness, back pain, neck or shoulder pain, hip pain? 19. Any new or recent change in medications? 20.Are you taking any OTC or herbal medications? 21. Do you have any of the following problems: Fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, night sweats? 22.Do you have shaking chills? 23. Exercises: a. All of the following are symptoms of upper-respiratory infection except: i. Chest pain b. In the evaluation of an adult patient with pharyngitis, it is important to ask about which of the following? i. All of the above c. In a patient with pharyngitis there are some features which may help to distinguish between group A streptococcal infection and viral causes of pharyngitis? i. True d. What is the most specific historical finding for the diagnosis and group A streptococcal pharyngitis? i. Exposure to a patient with Streptococcal pharyngitis in the past two weeks. Physical Exams 1. Skin vital sign 2. Temperature 3. HEENT: inspect eyes 4. HEENT: look in ears with otoscope 5. HEENT: look up nostrils 6. HEENT: Inspect mouth/pharynx 7. Neck: palpate neck 8. Neck: evaluate neck ROM 9. Skin, Hair, Nails: inspect skin overall 10. Lymphatic: palpate all lymph nodes 11. Chest wall and lungs: auscult