Your chief concern is 21 year old male with fever and respiratory distress. Formulate a patient report following

Your chief concern is 21 year old male with fever and respiratory distress. Formulate a patient report following the attached rubric. Formulate your own HPI. Make sure to clearly plan an outline for this and cover all the required points. You must research the diagnosis you are giving your patient and ensure your workup and plan of care are correct and evidence based. What medication, dose, route, frequency, and duration will you prescribed for this patient?

21 year old male with fever and respiratory distress

Category

Description

Points

Patient demographics

Student includes patient’s age and gender

3

Chief concern

Student includes what the patient presented for today

5

HPI

Student includes a detailed HPI. This must include many of the relevant points relating to the CC. This also must include some pertinent negatives relating to the CC.

20

Physical exam

Student must detail the physical exam performed that relates to the CC.

12

Workup

Student will detail appropriate orders for diagnostic work up. This includes labs, imaging, ECG, diagnostic procedures (LP), etc. Points will be deducted for overordering completely unnecessary exams.

22

Differential diagnosis

Student will list no fewer than four likely diagnosis. These must be relatively related to the CC and a way to confirm or rule out each of these must be included in the workup above.

14

Diagnosis and treatment

Student will include their suspected diagnosis and offer a treatment plan. This will include the following as needed: Admission decision, medications, consideration for social/economic/ religious/cultural/ethical or other such factors, procedures, rehab, etc. Must be evidence based and you should verbally cite your sources (i.e. Clinical Practice Guideline, uptodate, AHA, etc)