Role of Patient History and the Physical Exam played in Diagnosis History taking and sympathetic communication are two significant aspects of effective physician-patient collaboration
The patient presenting with complaints of strep throat for the past one day must be examined thoroughly to come up with conclusions concerning her problem. Upon asking her several questions and conducting some physical exams, I think she has Strep throat or Bacterial pharyngitis as the primary diagnosis. This possibly would be my first thought and concern and would treat the symptoms with Over-the-counter (OTC) medications, and antibiotics if necessary based on the strep culture and rapid. The patient has the condition symptoms and was before diagnosed and treated for it. Though Strep throat is common in kids, it is seen in roughly 5-10 percent of the adult population, and the streptococcal infection accounts for about 15-30 percent of all cases (Yeryomina & Kamyshny 2019). Differential Diagnoses Viral pharyngitis: Patient’s symptoms may consist of onset symptoms with fever, low grade fever, cough, malaise, aches, and headaches with strep throat symptoms. Antibiotic is not a treatment option, OTC treatment and patient education on existing infectiousness to others although they have fever and especially if they cough, sneeze, and blowing noses Tonsillitis: Tonsillitis is a severe or chronic tonsil inflammation that usually results from gas infections and must be looked out as the patient is symptomatic (Rivera-Hernandez et al. 2019). Viral URI: The patient may have been introduced to viral upper respiratory infection unknowingly and wound require some investigation of her signs and labs. And to check further if the first testing were negative. She must be enhanced to follow up in case her symptoms were to continue or get worsen with time. Role of Patient History and the Physical Exam played in Diagnosis History taking and sympathetic communication are two significant aspects of effective physician-patient collaboration. Collecting vital information from a patient’s medical history is required for an effective making of clinical decisions, while sympathy is significant for patient satisfaction. The patient has a renowned strep history and reports this as she feels similarly as on the previous infection. This will help to understand further that her condition is recurrent and know how it can be controlled. History of Penicillin allergy will help warn the physician to change the medication to prevent further patient effects. Occupation history would be vital to check for high exposure to dangers. Other patient’s history concerning her health conditions would be important. For instance, questioning the patient on cardiac and pulmonary history and the symptoms like heartburn, heart tremors, and shortness of breath or chest pains would help to determine her condition fully for excellent treatment. On the other hand, physical examination plays a vital role in determining the general status of the patient’s health. The exam similarly gives a chance to engage them on any constant symptoms or pain they experience, or other health concerns the patient might have. Following the patient’s physical exams, her vitals plays an essential role in determining treatment procedures for the patient determining correct treatment essential for her. Other than the provided information, I would note on the patient’s throat exam if there were any petechiae or proof of trauma like burns if she had a filthy odor in her breath or related headache, abdominal, or ear pain. These would play an essential role in helping for further patient evaluation. Treatment Plan I would recommend that the patient take OTC Advil or Tylenol for the pain symptoms (Cecire 2019). She should also take cold liquids or warm liquids such as broth, honey lemon water, and tea. The patient should avoid acidic or irritating foods. If positive for strep, she can adhere to the antibiotic regimen, avoid contact with other individuals, and change toothbrushes after every two days of using the antibiotics. If she is on birth control pills, she should use back up techniques as the antibiotics weaken them. The patient also should rely on fluids and rest follow up with the physician as required in case the symptoms get worsen or persists. References Cecire, J. M. (2019). Fluency & Over the Counter Drug Warning Labels. Rivera-Hernandez, T., Carnathan, D. G., Jones, S., Cook, A. J., Davies, M. R., Moyle, P. M., … & Goldblatt, D. (2019). An experimental group A Streptococcus vaccine that reduces pharyngitis and tonsillitis in a nonhuman primate model. MBio, 10(2), e00693-19. Yeryomina, A. K., & Kamyshny, A. M. (2019). Special microbiology: practicum on microbiology, virology, and immunology for the students of III course of the medical faculty, specialty” Medicine.”
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