Patient History of Present Illness

Family Medicine 21 12-Year-Old Female with Fever


Don't use plagiarized sources. Get Your Custom Essay on
Patient History of Present Illness
Just from $9/Page
Order Essay

Name xxx

United State University

Course xxxx

Instructor xxxxx

Date : xxxx


Family Medicine 21 12-Year-Old Female with Fever

Patient History of Present Illness

Marissa Payne is a female patient who is 12 years old and has complaints of cough, fever, sore throat, muscle aches, and headaches over the past three days. She has not had contact with a sick person. There are no crackles in the cervical lymphadenopathy, but there is a hyperemic oropharynx, occasional wheezes, and generalized rhonchi on physical examination. She has not been immunized against COVID-19 and the influenza virus.

Differential Diagnoses

In this case, influenza is the primary diagnosis. Influenza is associated with symptoms in the infection of the respiratory tracts, as well as systemic symptoms like myalgia, headache, fever, and fatigue (Mayo Clinic, 2021). Children with influenza often have headaches, sore throats, and a general feeling of malaise before their upper respiratory symptoms, like coughing, show up (Mayo Clinic, 2021). It is common for patients to be able to pinpoint the exact hour of influenza’s onset. Winter is a common time for outbreaks to occur. In some adults and children, headache is the initial symptom. Young children commonly have a fever above 102.2 °F (Mayo Clinic, 2021).

On the other hand, older children may appear with a jumble of symptoms, making it difficult to tell if they have influenza (Mayo Clinic, 2021). Fever-induced seizures can occur in infants as young as six months old. Flu symptoms might induce rhonchi on a lung exam. Rhonchi are a side effect of influenza and not one of the most important things that a practitioner looks for when someone has the flu (Mayo Clinic, 2021). Influenza mostly affects a greater percentage of preschool and school-aged youngsters each year (Mayo Clinic, 2021). Children under the age of two are more likely to experience complications and need hospitalization (Mayo Clinic, 2021). It is possible that Marissa’s aches and pains are a sign of influenza. Marissa has a sore throat, which does not necessarily mean she has influenza, but it is part of a larger set of symptoms that are not prevalent in other diseases.

Group A streptococcal pharyngitis is another possible diagnosis. This infection causes fever, sore throat, lack of cough, and sensitive lymphadenopathy of the cervical region are the most common symptoms (Arnold & Nizet, 2018). Group A streptococcal pharyngitis could be a possibility, but considering Marissa’s other symptoms and the discovery of painful cervical lymphadenopathy, this appears less plausible than it might seem.

Acute bronchitis is the other possible diagnosis. Acute bronchitis is coughing due to inflammation of the major airways in the lungs Sputum with purulent content is found in 50% of patients with inflammation of the tracheobronchial system (Singh et al., 2022). Viruses are the most common cause. It is difficult to tell the difference between a URI and acute bronchitis in the first few days. When it comes to acute bronchitis, a cough that lasts longer than five days is common (Singh et al., 2022). Patients with bronchitis can have rhonchi, scattered wheezes, or a normal lung exam, depending on the severity of their illness (Singh et al., 2022). When the big airways are inflamed or mucus-filled, they produce rhonchi, a series of pulsating sounds (Singh et al., 2022). In this case, Marissa is experiencing signs of acute bronchitis, including coughing, fever, and rhonchi; however, her other symptoms, including headache,  myalgia, and sore throat, cannot be explained by this condition.

Diagnostic Tests

To confirm the primary differential diagnosis, tests are recommended. Therefore, in this case, we need a rapid influenza test to confirm the presence of influenza (CDC, 2019). The rapid influenza lab result is positive. Also, a rapid test for group A Streptococcus is recommended to rule out Streptococcal Pharyngitis whereby the results are negative hence ruling out group A Streptococcal Pharyngitis (Luo et al., 2019). On the other hand, a lipid profile test is recommended. A lipid profile test consists of the following: Total cholesterol, High-density lipoprotein, as well as Low-density lipoprotein (Lee & Siddiqui, 2021). These tests help in assessing cholesterol and lipoprotein abnormalities caused by obesity.


Marissa’s situation does not warrant the use of influenza medications like Oseltamivir or Zanamivir because they are only suggested for use within 48 hours of the onset of the symptoms (CDC, 2022). In this case, ibuprofen and acetaminophen are recommended for pain and fever treatment, respectively (Clinic Cleveland, n.d.). In addition, honey and lemon might be taken by the patient (Jovinally, 2021). According to several studies, coughs and sore throats may be lessened and soothed with honey and lemon.

Patient education

Educating the patient on how to prevent virus transmission by cleaning the hands, covering the nose when sneezing, and remaining home from school until the symptoms have subsided (CDC, 2022). Education on the dangers of secondhand smoke exposure (CDC, 2022). Influenza and bronchitis could be exacerbated by smoke (CDC, 2022). Exercises and balanced diet: Marissa is obese because her body mass index (BMI) is greater than the 95th percentile. An exercise plan is recommended for kids with high cholesterol or low LDL (Enkhmaa et al., 2018). In Marissa’s case, her cholesterol was 185mg/dl, which is beyond the normal range of 170 mg/dl (Enkhmaa et al., 2018). Her LDL level (120mg/dl) was within the normal range, so she did not require any medical treatment.


Referral to a dietitian. Some of the dishes in the school’s dietary pattern are unhealthy and could lead to obesity in other children (Kim et al., 2019). As a result, she requires assistance managing her weight and diet, as well as identifying any issues that may arise. Obesity will be addressed in this way.




Arnold, J. C., & Nizet, V. (2018). Pharyngitis. In  Principles and Practice of Pediatric Infectious Diseases (pp. 202-208.e2). Elsevier.

CDC. (2019, November 12).  Rapid influenza diagnostic tests. Cdc.Gov.

CDC. (2022).  Influenza antiviral medications: Summary for clinicians. Centers for Disease Control and Prevention.

Clinic Cleveland. (n.d.).  The common cold and the flu. Cleveland Clinic.–colds-and-flu-symptoms-treatment-prevention-when-to-call

Enkhmaa, B., Surampudi, P., Anuurad, E., & Berglund, L. (2018).  Lifestyle changes: Effect of diet, exercise, functional food, and obesity treatment on lipids and lipoproteins.

Jovinally, J. (2021, January 22).  11 Cold and Flu Home Remedies.

Kim, H. S., Park, J., Ma, Y., & Im, M. (2019). What are the barriers at home and school to healthy eating?: Overweight/obese child and parent perspectives: Overweight/obese child and parent perspectives.  The Journal of Nursing Research: JNR,  27(5), e48.

Lee, Y., & Siddiqui, W. J. (2021).  Cholesterol Levels. StatPearls Publishing.

Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

Online Academic Help With Different Subjects


Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.


Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!


While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.


Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.


In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.


Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.


We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!


We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.


Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment Help Service Works

1. Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2. Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3. Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4. Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essay GET A PERFECT SCORE!!! smile and order essay Buy Custom Essay

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
error: Content is protected !!
Open chat
Need assignment help? You can contact our live agent via WhatsApp using +1 718 717 2861

Feel free to ask questions, clarifications, or discounts available when placing an order.
  +1 718 717 2861           + 44 161 818 7126           [email protected]
  +1 718 717 2861         [email protected]