Marvin Webster Jr i-Human Patients Case Study

I-HUMAN PATIENTS PRACTICE CASE

As part of your orientation to i-Human Patients, you are required to explore the Marvin Webster, Jr. practice case to become familiar with the i-Human Patients interface and to start making the transition between the live patient encounter and the virtual patient encounter.

Note: For this practice case, you will have 2 weeks—and five (5) attempts—to practice and resubmit this case.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

Be sure that you have thoroughly reviewed the i-Human Patients Case Player Student Manual in the Week 2 Learning Resources.
Access the required i-Human Patients Marvin Webster, Jr. practice case study from the Week 2 Learning Resources.

Important Note: Once you have purchased your i-Human Patients access code from the bookstore, you should receive an email with your i-Human Patients login and password information. If you have not received this information, please contact the Course Instructor.

Assignment

As you interact with the Marvin Webster, Jr. i-Human Patients practice case, complete the assigned case study. Upload your PDF from i-Human Patients to this Assignment.

Note: You will have five (5) attempts to practice and resubmit this case study. There will be no further attempts after your final submission in Week 3.

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

All History Questions

How can I help you today?

When did your cough start?

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

Are you taking any over-the-counter or herbal medications?

Does anything make your cough better or worse?

What are the events surrounding the start of your cough?

Do you have any allergies?

When did your sore throat start?

what treatments have you had for your sore throat?

How severe is your sore throat?

does anything make your sore throat better or worse?

When did your headache start?

Hoe severe(1-10 scale) is your headache?

Does anything make your headache better or worse?

Are you taking prescription medications?

Are you coughing up any sputum?

Have you had a flu shot this year?

have you had any contact with other sick people?

Do you have problem with dizziness, faintng, spinning room, seizures, weakness, numbness, tingling, or tremor?

do you experience chestpaindiscomfort…

do you have problem with nausea, vomiting, constipation,..or bloating?

Marvin Webster Jr i-Human Patients Case Study

All physical exams

Teemperature

Vitals: Pulse

Vitals: blood presure

Vitals: respiration

Abdomen: Palpate abdomen

Heart: Ascultate heart

HEENT: Inspect mouth/Pharynx

Neck: Evaluate neck range of motion

Neck: Palpate Neck

Marvin Webster Jr i-Human Patients Case Study

GET i-HUMAN OR CLASSWORK HELP HERE

Case: Key Findings

Key Finding

Temperature 101°F

Tachycardia

Dry cough

Myalgias

Sore throat, erythematous pharynx

Headache

Cervical lymphadenopathy

Fatigue

Case: Key Findings Feedback – Marvin Webster Jr i-Human Patients Case Study

Temperature 101°F: In most cases, this is indicative of immunologic response. However, fever can also be induced by a defective heat loss mechanism that cannot accommodate normal heat loads (ie heat stroke) or in scenarios where heat production exceeds heat loss (i.e. hyperthyroidism)

Tachycardia: Increased heart rate is frequently a concomitant of fever.

Dry cough: There are three main mechanisms responsible for a cough. In this case, the cough receptors are being stimulated by mechanical stimuli like upper respiratory tract secretions. Cough can also be triggered by pulmonary C-fibers reacting to a chemical or when the cough receptors are activated by smooth muscle contraction and gastric acid

Myalgias. The acuity of sore muscles typically aids the practitioner in determining the source of its pathology For the acute onset of myalgia, common causes include viral or bacterial infections, injury, and vitamin/mineral deficiencies. For chronic myalgias, clinicians should consider musculoskeletal, autoimmune, or mental health conditions

Sore throat, erythematous pharynx: Inflammation of the mucosa of the oropharynx is the most familiar culprit of throat pain, secondary to an infectious cause Marvin Webster Jr i-Human Patients Case Study

Headache: Headaches can be classified as primary or secondary. Primary headaches account for approximately 90% of all headaches and are not attributed to structural pathology or systemic disease. Secondary headaches are attributed to underlying disorders. Abrupt onset suggests a secondary headache and severity and location of pain extend guidance toward pathology and precariousness

Cervical lymphadenopathy: Inflammation of the pharynx and its associated lymph fluid drain to the upper cervical nodes in front of the sternocleidomastoid muscle. Adenopathy in other cervical and axillary lymph nodes in the presence of sore throat demonstrates a higher likelihood ratio for infectious mononucleosis Marvin Webster Jr i-Human Patients Case Study

Fatigue Acute onset fatigue (defined as less than 6 months) frequently occurs as a prodrome of bactena! and viral illnesses.

Case: Problem Statement

This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact, and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly.

Case: Management Plan

Pharmacologic Care:

Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever, headache, myalgias
Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs; maximum dose 6 doses daily pr cough

Supportive Care:

Increase fluid intake
Rest – no class attendance – school note provided for 48 hours
Marvin Webster Jr i-Human Patients Case Study

Patient Education:

Offered education on the diagnosis and treatments provided
Educated patient that oseltamivir is not indicated given timeline since symptom onset

Follow-Up/Disposition:

Follow up in the student health center if not improving within 48 hours or headache worsens or if shortness of breath develops
At future visit, address vaccination status – encourage flu vaccine and COVID booster
Marvin Webster Jr i-Human Patients Case Study

Marvin Webster Jr i-Human Patients Case Study