Performance Overview on case Jenna James
The following table summarizes your performance on each section of the case, whether you completed that section or not.
History Notecard on case Jenna James
Use this worksheet to organize your thoughts before developing a differential diagnosis list.
- 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.
- Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row.
- 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.
Problem Statement on case Jenna James
This is a 23 y/o college female, who presents to the clinic with acute illness of a fever 101.8F , sore throat, swollen bilateral cervical lymph nodes, headache for the past 2 days. Pt states they took Tylenol for relief of pain, rating pain at this time 11 on a scale f 1-10. Pt states roommate was sick last week with similar illness. Patient denies flu vaccine this year. Physical exam of Pt, fever 101.5 F, pharyngeal erythema and tonsillar exudate, bilateral swollen/tender cervical lymph nodes.
Management Plan on case Jenna James
- Diagnostic tests
- Medications
- Palm
- Follow up
- Reference
Electronic Health Record on case Jenna James
- History of Present Illness
- Past Medical History
- Medications
- Allergies
- Preventive Health
- Family History
- Social History
- Review of Systems
- Physical Exams
Instituition / Term | |
Term | Uploaded 2023 |
Institution | Chamberlain |
Contributor |