Question

A 22-year-old female presents to your office in November complaining of cough and fever. She reports she was in her usual state of health until 5 days ago when a cough developed. There was no associated sore throat, rhinitis, myalgias or headache. Two days ago, a low-grade fever of 100F and her sputum is yellow. She has no chest pain or shortness of breath. Answer the following questions based upon what you know at this point:

1. What are your top three differential diagnoses with rationale?
2. For each of your differential diagnoses, what would be the classic clinical presentation (both subjective and objective findings)?
3. Assuming your most plausible diagnosis is the final diagnosis, what is your treatment plan (include nonpharm and pharm with complete prescriptions)?

Answer 1

1) flu/cold

Pneumonia

Acute bronchitis

2) in pneumonia, there is smchest oian or shortness of breath present alnog productive cough along with high grade fever

In flu or cold, there is runny nose present

In bronchitis there is fatigue, low grade fever present

3) confirmation of diagnosis is made by listening to sound of lungs produced, afteriafter dprocedures like cbc/ear & chest xray

With the provided information, most plausable one is bronchitis

Which is a viral infection, resolves usually after 7-10 days

In it,

Plenty of rest is suggested

Drink excess of water

Do gargles in morning and evening with Luke warm water added with pinch of salt

Take steam at night

Apply Vicks vaporub at. Night just before sleeping

And drugs suggested are

Pcm for fever (s.o.s)

Mucinex (b.d.)

Honitous syrup (T.d.s)