6005 w3 d3.docx - Mr JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion He says it started out as a\"normal

6005 w3 d3.docx - Mr JD is a 24-year-old who presents to...

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Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a "normal cold" and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says hehas had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies. In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red;frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.Is there any additional subjective or objective information you need for this client? Explain.It would be important to know if JD has had any other recent illnesses or exposure to anyone else who is sick. Other important information is to know if JD takes any medications daily or if he has been self-medicating with over the counter medications for symptom management. Obtaining this information could be crucial,especially if he ends up being prescribed medications that could potentially interact with over the counter treatments. “When a patient self-medicates with an OTC
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  • Fall '19
  • Allergy, Sinusitis, productive cough

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