S: CC : Fever HPI: John Jenkins is a 45 yr old male who presents to… S:CC: FeverHPI:John
S: CC : Fever HPI: John Jenkins is a 45 yr old male who presents to… S:CC: FeverHPI:John Jenkins is a 45 yr old male who presents to the clinic with a 7 day history of headache, facial fullness, nasal congestion, and nasal discharge. It started with feelings of malaise and then he developed nasal discharge, facial pain, and headache. The symptoms improved for a short time but then returned and worsened. He has been feeling feverish but has not measured his temperature. He has had some relief with acetaminophen, ibuprofen. His symptoms are worse in the afternoon. Past Medical HistoryHTNGERDPast Surgical HistoryAppendectomy at age 21Current MedicationsLisinopril 20 mg dailyFamotidine 20 mg dailyAllergiesNKDAROSConstitutional: + fevers, chillsHEENT: No changes in vision, no ear drainage. Cardiovascular: No chest pain, palpitations.Respiratory: No shortness of breath or cough.GI: No n/v/abd pain.Integumentary: No rashes, wounds.Neuro: + HA, dizziness.O:Physical ExamVS: T 102.3 P 68 R 16 BP 156/90 O2 sat 98% RAGeneral: Ill-appearing 45 yo man, appears his stated age. Reliable historian.HEENT: Bilateral ear canals patent. TMs intact and pearly gray with appropriate light reflexes. Nose with purulent drainage. Frontal sinuses with tenderness on palpation. Mouth with moist mucous membranes. Normal dentition. Posterior oropharynx appears irritated with post nasal drainage noted. Cardiovascular: S1S2 normal. No murmurs, rubs, or gallops.Respiratory: Lungs clear to auscultation. Respirations even and unlabored.Skin: No rashes on exposed skin. When looking at the appropriate antibiotic to prescribe for this patient, please respond with your choice of the answers below with rationale and dosing on the discussion board. A. MeropenemB. ClindamycinC. CephalexinD. Amoxicillin/clavulanate Health Science Science Nursing NURSING 8677 Share QuestionEmailCopy link Comments (0)
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