IHUMAN Infectious Disease Case (Dengue Fever) Complete Review
1. Patient Encounter
- History Taking:
- Patient Name: Maria Gonzalez
- Age: 32
- Gender: Female
- Chief Complaint: "I've been having a high fever and a severe
headache for the past three days."
- History of Present Illness (HPI): Maria reports that she
developed a high fever three days ago, which has been persistent.
She also experiences a severe headache, muscle aches, and
fatigue. She mentions that she recently returned from a trip to South America. She denies any cough, shortness of breath, or
gastrointestinal symptoms.
- Past Medical History (PMH): No significant medical history.
- Family History (FH): No known family history of infectious
diseases.
- Social History (SH): Maria is a non-smoker and does not
consume alcohol. She works as a travel blogger and frequently
travels to different countries. She lives alone and has no pets.
- Review of Systems (ROS):
- General: High fever, severe headache, muscle aches, fatigue.
- Respiratory: No cough, shortness of breath, or wheezing.
- Cardiovascular: No chest pain, palpitations.
- Gastrointestinal: No nausea, vomiting, diarrhea, or abdominal
pain.
- Neurological: Severe headache, no dizziness, syncope, or
weakness.
2. Physical Examination
- Vital Signs:
- Temperature: 103.2°F
- Heart Rate: 105 bpm
- Respiratory Rate: 20 breaths/min