I HUMAN CASE AMINA JOHNSON 23 Y/O
5'7" (170 CM) 120.0
IB (54.5 KG) REASON FOR ENCOUNTER
FEVER AND SORE
THROAT. LOCATION OUT PATIENT
CLINIC WITH X
-
RAY, ECG
AND LABORATORY CAPABILITIES
Case
Summary:
Amina
Johnson
Patient
Information:
Name:
Amina Johnson
Age:
23 years old
Height:
5'7" (170 cm)
Weight:
120.0 lbs (54.5 kg)
Reason
for
Encounter:
Fever and sore throat
Location:
Outpatient clinic with x
-
ray, ECG, and laboratory capabilities
Assessment
and
Evaluation
1.
Initial
Assessment:
Chief
Complaint:
Fever and sore throat
History
of
Present
Illness:
Onset, duration, and se
verity of symptoms
Associated symptoms such as headache, body aches,
cough, difficulty
swallowing, or ear pain
Any recent contact with sick individuals or history of
similar symptoms
2.
Vital
Signs:
Temperature:
Measure to confirm fever
Heart
Rate:
Assess for tachycardia
Respiratory
Rate:
Evaluate for any signs of respiratory distress
Blood
Pressure:
Check for any abnormalities
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