I-HUMAN PATIENTS PRACTICE CASE

Marvin Webster

18 y/o

6′ 0″ (183 cm)

185.0 lb (84.1 kg)

Reason for encounter

Fatigue and cough

History & Physical Exam – Marvin Webster Jr i-Human Patients Case Study

All History Questions

How can I help you today?
How does this affect your life?
When did your cough start?
Are you coughing up any sputum?
Have you had any other contact with other sick people?
Has anyone else you know developed these symptoms?
Do you have any allergies?
Have you had a flu shot this year?
Do you have a sore throat?
When did…… 

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All physical exams

• Temperature
• Vitals: Pulse
• Vitals: blood pressure
• Vitals: respiration
• Abdomen: Palpate abdomen
• Heart: Auscultate heart
• HEENT: Inspect mouth/Pharynx
• Neck………….

Case: Key Findings

Key Finding

• Temperature 101°F
• Tachycardia
• Dry cough
• Myalgias
• Sore throat, erythematous….