I-Human Case Study Student’s Name Institutional Affiliation Course Instructor’s Name Date I-Human Case Study Patient Information Name – T.C. Age – 2 years. Gender – female. Subjective Chief Complaint: “Runny nose, cough, and fever.” HPI: The 2-year-old fe
I-Human Case Study Student’s Name Institutional Affiliation Course Instructor’s Name Date I-Human Case Study Patient Information Name – T.C. Age – 2 years. Gender – female. Subjective Chief Complaint: “Runny nose, cough, and fever.” HPI: The 2-year-old female was brought to the clinic by her mother with complaints of runny nose, cough, and fever. She reported that the disorder started three ago, but the fever began a day ago. She reports that the disorder is characterized by fussiness and decreased appetite. She reports administering Tylenol every four, but the fever returned after about four hours. Past Medical History: She denies hospitalizations. She says that the child met all developmental milestones and is without disability. Allergies: No known allergies. Past Surgical History: No surgical history. Medications: Tylenol Family History: No family history of the present disorder. Social History: Both parents are smokers. The child is in daycare, where several children are sick. Health maintenance: The child missed this season’s flu shot. Review of Systems: i. General: The child is generally fussy and crying. ii. HEENT/neck: Runny nose iii. Lungs: Reports a cough. iv. Cardiovascular: Denies palpitations and pain. v. G.I.: Reports loss of appetite. vi. Pelvic/GU: Denies changes in toileting. vii. Neuro: Reports fever that comes and goes. viii. Endocrine: Denies weight fluctuations. ix. Musculoskeletal: Denies changes in activity. x. GU: Reports regular wetting of diapers. xi. Derm: Denies integumentary changes. xii. LMP: Denies swelling of lymph nodes. xiii. Sleep/Rest: She reports staying up all night. Physical Exam i. General: The patient is fussy and crying. ii. Vitals:
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- NR503 NGN 2023-2024 GRADED
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