SUBJECTIVE: A 12-year-old female who has had 3 to 4 days of a (1) ________ cough. She did have a temperature to 101; this has subsequently resolved. She has had a headache and body aches. She has had no nausea, vomiting, or diarrhea. She denies any sore throat. She has general malaise. Her (2) _________ intake has been adequate

Question

OBJECTIVE: General: The patient appears tired, with a (3) ________ cough which is nonproductive. HEENT: TMs and (4) ________ normal. Larynx clear. Oropharynx injected. Lymphoid studding. Mucous membranes are moist without lesion. Anterior cervical adenopathy bilaterally. (5) ________: Regular rate and rhythm without murmur. Lungs are clear to (6) ________ bilaterally.

ASSESSMENT/PLAN: Upper respiratory infection of most likely viral in (7) ________. However, patient’s mother has a bronchitis, and her father was recently treated for an upper respiratory infection as well. Patient was given samples of (8) ________ 5-day course to take if her symptoms persist for more than 7 to 10 days. Patient is to use Robitussin-DM, ensure adequate p.o. fluid intake, and rest as possible.

Answer 1

1. nonproductive
2. p.o.
3. congestive
4. EACs
5. Cor
6. auscultation
7. etiology
8. Zithromax