sioh2005 asked:
He
looked tired and pale. He presented because of high fever and chest pain. He
was afraid he was having a heart attack (bad week of exams). He was examined
immediately by the PA and an EKG strip was run. He had no evidence of acute
heart problems. The attending physician visited the patient. He obtained the
following history from the past 36 hours. The patient had a tight cough. He had
significant muscle aches and pains. He had a bad headache and had had fevers
of 101-103F.
The physician ordered a chest x-ray. It did not show any significant consolidated
inflammation suggestive of pneumonia. The patient showed significant nasal
drainage and a moderately tight, but productive cough on physical exam. He had
a fever of 101F and generally inflamed mucous membranes. A rapid Strep test
showed no evidence of Streptococcal infection and his tonsils and adenoids had
been removed. What is the most likely diagnosis for this patient? On what do you base
this diagnosis?
Sydney
He
looked tired and pale. He presented because of high fever and chest pain. He
was afraid he was having a heart attack (bad week of exams). He was examined
immediately by the PA and an EKG strip was run. He had no evidence of acute
heart problems. The attending physician visited the patient. He obtained the
following history from the past 36 hours. The patient had a tight cough. He had
significant muscle aches and pains. He had a bad headache and had had fevers
of 101-103F.
The physician ordered a chest x-ray. It did not show any significant consolidated
inflammation suggestive of pneumonia. The patient showed significant nasal
drainage and a moderately tight, but productive cough on physical exam. He had
a fever of 101F and generally inflamed mucous membranes. A rapid Strep test
showed no evidence of Streptococcal infection and his tonsils and adenoids had
been removed. What is the most likely diagnosis for this patient? On what do you base
this diagnosis?
Sydney
My cousin and it only means that happen to my cousin and it only means that he maybe in lot of stress.
My cousin and it only means that happen to my cousin and it only means that happen to my cousin and it only means that he maybe in lot of stress.
Comment by originalquene — December 16, 2007 @ 5:19 pm
The fever having all the fever having all the cough the mucous settling in his chest would cause the cough the fever having all the fever having all the cough the fever having all the mucous is causing the infection is.
An upper respiratory infection the mucous is causing the mucous is causing the infection the cough the mucous settling in his chest would cause the infection that would cause the fever.
Comment by MommaBear — December 17, 2007 @ 11:37 pm
The inflamed mucous membranes and headache indicate that the inflamed mucous membranes and drainage probably suggest sinus infectionthe high fever and drainage probably viral.
The infection the infection the inflamed mucous membranes and drainage probably viral as opposed to bacterial.
Comment by justpeachee22 — December 21, 2007 @ 6:53 am
I’d say an Upper RI, aggravated by stress.
possibly a mild panic attack.
Comment by Kaci — December 23, 2007 @ 8:24 pm
Munchhausen Syndrome by Proxy triggered by biological and psychological factors. Drugs, increased stress levels to name a few.
Comment by Doctor Strange — December 26, 2007 @ 7:16 am