In: Nursing
Directions
max a 19-year-old college freshman,complains of fever, malaise and
nausea. he says he came into the clinic because he feels too weak
to go to class. additionally, he reports having no appetite. for
symptom relief, max has taken ibuprofen.
max has no previous health conditions to report except that he was told that as a small child, he had reactive airway disease he worked part time while attending college. his only sibling is alive and well. both parent are alive, and Max's father takes medication for hypertension. max lives in a college dorm with one roommate and his dorm houses about 150 students.
he denies having a cough. additionally, max says that his throat is slightly sore, but he is not sure whether it is because he has been vomiting. he also stays that his nose is somewhat stuffy. max says that he does not know of anyone around who is ill but that he takes class in lecture halls with about 100 other student several day a weak.
his temperature in the office is 101.2^F. Max's ears are clear upon examination, and his throat is mildly red. his blood pressure is within the normal range, his pulse rate is 104, and his respiratory rate is 20. Max's lungs a)re clare to ausculation.
based on Max's current presentation and symptoms come up with a diagnosis. discuss the reasons for your answer include recommendations or treatment?
As per the symptoms mentioned, this is a suspected case of covid19.
Covid 19 may vary in symptoms.This may be occur without having respiratory symptoms.
Vomiting and nausea may be present in some cases.This disease spreads through droplets and direct contact with the infected person or indirect contact with surfaces in the immediate environment or with the objects used by the infected person.
Some persons may be affected by this showing no symptoms.
in this case he does not know anyone around him having an illness.This does not mean he is not exposed to the virus.He is taking class in lecture hall containing hundred students. So he is at risk.
As per the symptoms of the patient now the patient has to be treated with drugs for symptamatic relief. In ordfer to diagnose the observationof symptoms is not enough. A swab test for corona virus is necssory to confirm this case.
Management:
Antiemitics
Antipyretics
maitain adequate hydration
Antiviral drugs such as Oseltamivir
Isolation