FEATURE ADJUSTMENT: The Flag button is temporarily unavailable for members. We are doing certain system adjustments as of the moment to prevent some users from abusing this feature. For reports, please message the moderators or email us at [email protected]
PEx Alert: Welcome to the new PinoyExchange. For access issues, bug reports and technical concerns, please email us at [email protected] Thank you!

Impression and differential diagnosis on this case

Hello doctors! I’d like to find out what’s your:
1. Impression
2. Differential diagnosis
on the case below. It is just a hypothetical case, not an actual one. It's a case we are currently discussing in our med school. Your opinion will be very much appreciated. Thank you!


R.C., 25 year-old, M, consulted at your clinic due to fever and chills.

HPI: A week PTC, patient complained of sore throat with associated high grade fever, headache and body malaise. He self-medicated with unrecalled cough/cold preparations to no avail. Persistence of signs and symptoms prompted consult at your clinic.

PMHX: non-hypersensitive, non-diabetic, no thyroid illness, no hx. Of tumorous growths nor blood dyscrasias

FMHX: (-)HPN (-)CHVD, (-)D.M.(-)Thyroid illness, (-)Blood dyscrasias

P/SHX: An executive secretary with history of 2 pack years of smoking, occasional alcoholic beverage drinker

ROS: (-) headache
(-) loss of consciousness(LOC)
(-)nausea/vomiting
(-)dental caries
(-)prior chest pains
(-)orthopnea
(-)dyspnea
(-)abdominal pain
(-) diarrhea/constipation
(-)weakness
(+)frequent sorethroats for 10X yearly

Pertinent PE:
SHEENT: good skin turgor, normocephalic, pale palpebral conjunctivae, (-) alar flaring,
(-)neck vein engorgement; normal sized thyroid-moves with deglutition; (+)CLAP,
(+)TPC;/erythematous pharyngeal walls,bilateral;
C/L: (-)ICS retractions, clear breath sounds, no rales/wheezing;
CVS: adynamic precordium; NRRR; PMI at 5th ICS,LMCL;(-)murmurs;
Abd: soft, flat, non-tender,NABS; (-)tendcerness/organomegaly;
Extremities: Full equal pulses, (-) edema/cyanosis; (-)leg varicosities
Neurologic Exam: E/N

:)

Comments

Leave a Comment

BoldItalicStrikethroughOrdered listUnordered list
Emoji
Image
Align leftAlign centerAlign rightToggle HTML viewToggle full pageToggle lights
Drop image/file