NR509 Week 3 iHuman Case: Jenna James

• Performed X Missed

Pivotal

Concept

Addressed

Category

Question

Response

•

HPI

How can I help you today?

I have a really bad sore throat.

•

HPI

Do you have any other symptoms or concerns we should discuss?

I have some mild headaches that seem to come and go. Oh yeah, and my glands are really swollen and tender. Here on both sides of my neck. Nothing else I can think of though.

•

PMH

Do you have any allergies?

Not that I know of.

•

HPI

What are the events surrounding the start of Nothing really; it just started hurting. your sore throat?

•

Symptom

Do you have a sore throat?

Yes.

•

HPI

How severe is your sore throat?

Let’s just say that my throat hurts like hell.

It’s like an ice pick in there! I think it is the worst I’ve had in my life! On a scale of 1 to 10, it’s an 11!

•

HPI

When did your sore throat start?

About 2 days ago; it seemed to come on pretty suddenly.

•

HPI

Does your sore throat come and go?

I wish it did.

•

Symptom

Do you have a problem swallowing?

Boy do I! My throat hurts so much when I swallow. I really don’t want to eat, even though my appetite is OK.

•

Symptom

Have you been having fevers?

Yeah, my temp was up to 101.8°F last night.

I felt horrible.

•

HPI

How high is your fever?

Well, as high as 101.8°F last night.

•

HPI

When did your fever start?

Two days ago.

•

HPI

What are the events surrounding the start of It seemed to follow my other symptoms. your fever?

• Performed Correctly

& Partially Correct

Preferred Exams

My Exams

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• blood pressure

• blood pressure

• Performed Correctly

• pulse

• pulse

• Performed Correctly

• respiration

• respiration

• Performed Correctly

• temperature

• temperature

• Performed Correctly

• Spo,

• Spo,

• Performed Correctly