Description

Problem Statement – Version 1

23 y/o female college student with roommate presents to clinic today with c/o sore throat (11/10 pain)”feels like ice picks”, difficulty swallowing, headache, fever (101.5), intermittent chills for 2 days. Denies cough, fatigue, weight loss and recent flu vaccine with a history of mononucleosis at 15. Exam revealed bilaterally enlarged tonsils R>L, with prominent exudates, posterior pharyngeal erythema, bilateral cervical lymphadenopathy with tenderness. Lungs bilaterally clear, S1S2 present, no signs of acute distress. States her roommate was sick 1 week ago with similar symptoms. She states she has tried Tylenol for her headache, sore throat, and fever with mild relief and states cold ice-cream helps her throat pain. Denies smoking, Drinks 2-3 drinks per week.

Problem Statement – Version 2

Jenna James is a 23 year old female with history of infectious mononucleosis at age 15. Patient came in today with intermittent headache, bilateral anterior cervical lymphadenopathy, temperature of 101.5 F, and pharyngeal erythema. Patient reports infectious contact from roommate last week. Patient denies chest pain, cough, shortness of breath, dizziness, tingling, numbness, nausea, vomiting, diarrhea, and constipation.

Problem Statement – Version 3

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.

Problem Statement – Version 4

JJ is a 23 year-old female with a history of infectious mononucleosis at age 15. She presents with acute onset of sore throat along with fever (101.8 F), bilaterally swollen lymph nodes that are tender to touch, headache, and difficulty swallowing. Patient symptoms began around 2 days ago following exposure to a sick roommate. Physical examination reveals fever of 101.5 F, bilateral cervical lymphadenopathy, erythema of the pharynx, and tonsillar exudate. Patient breathing is unlabored and clear to auscultation bilaterally. Patient taking acetaminophen as needed to reduce fever, headache, and sore throat symptoms. Cold food temporarily improves sore throat. Patient denies receiving flu vaccine this year. COVID series completed.