SP Cases - ASU

What is your name?

Alex Mercer

DOB and Age

06/07/1979 49

What brings you in today? If they ask more?

My throat hurts; Ive had it for a week and it isn’t getting better

Can you tell me more about it?

Like What?

Then ROS:

Tender gland in neck

Decreased appetite

muscle aches

low grade fevers and night sweats were present early in the illness but have improved

Mild Nausea(without vomiting)

fatigue

When did it start?

About 7 days ago

Where is the location of blank Radiation?

To the throat with tender swelling on both sides of neck: No

On a scale from 1-10 what is your pain?

6/10 at its lowest and 8-10 with swallowing

How long does it last?

Pain is constant, scratchy, and painful with swallowing

What makes it worse?

swallowing, prolonged talking, turning of head, and long work days

What makes it feel better?

Warm liquids and acetaminophen

How has it progressed?

Any other symptoms associated with the episodes?

Any previous treatments for this?

I broke my arm as a teenager and it required surgery

Medications?

Ideas: What do you think could be aiding?

Well i thought that this could be strep throat or another bad virus

Concerns: What worries you most about this?

Expectations: What are you hoping out of this?

Any medical conditions you have I should know about? (Could mention diagnose if I have)

Pregnancy? Allergies?

Surgical History? Hospitalizations?

Family History? Parents, Siblings, Children, Genetic concerns…?

How long have you lived here?

Who do you live with? Support?

Occupation?

Tobacco, drugs, alcohol?

Exercise?

Sexually Active? Concerns if any?

Diet?

ROS: Review of Symptoms