Kimberly Johnson ihuman case study QUESTIONS AND ANSWERS Exam TESTED AND CONFIRMED A+ ANSWER
Subjective
ID: KJ
Age: 27 y/o
Sex (assigned at birth): Female
Chief Concern
Feeling sick with a sore throat
History of Presenting Illness
Medications/Supplements – Acetaminophen and birth control pill
Onset – 2 days ago
Associated Symptoms – Fever (38.4° C), Headache, Painful “swollen
glands” in her neck
Aggravating Factors – Swallowing (impairs ability to eat)
Relieving Factors – Cold liquids soothe
Severity – On a scale of 1-10, a 12 (1 = no pain, 10 = very painful)
Past Medical History
No major, relevant past medical history
No surgeries
No medications
No allergies
Social / Lifestyle History
In a relationship with her boyfriend for over a year, sexually active
Contact with nephew 5 days ago who was sick
Law school student
Chart Note – Week 4
Review of Systems
Respiratory: No shortness of breath, wheezing, difficulty catching breath,
chronic cough, or sputum production
Constitutional: No problems with fatigue, difficulty sleeping, unintentional
weight loss, or night sweats
HEENT: No problem double or blurred vision, difficulty with night vision,
problems hearing, ear pain, sinus problems, or chronic sore throats.
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