Case Number One

Case 1

Patient seen in clinic: Mrs. Hertzwen I. Peigh

Exam reveals:

She has an oral temperature of 39^oC.

SIGN   SYMPTOM   NEITHER

BP is within normal limits.
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SIGN   SYMPTOM   NEITHER
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Pulse and respirations are within normal limits.
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SIGN   SYMPTOM   NEITHER
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She has diarrhea, starting yesterday, about 2-3 x day.
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SIGN   SYMPTOM   NEITHER
```

She has trouble sleeping.
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SIGN   SYMPTOM   NEITHER
```

She gets up frequently to urinate, although there isn't much urine, and lately it's a little uncomfortable.. She has not noticed any blood in her urine.
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SIGN   SYMPTOM   NEITHER
```

A blood count shows that her white blood cell count is a little elevated, and neutrophils are the predominant cell observed. Everything else is normal.
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SIGN   SYMPTOM   NEITHER
```

Her bones hurt.
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SIGN   SYMPTOM   NEITHER
```

Her head hurts.
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SIGN   SYMPTOM   NEITHER
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She thinks it's the chili con queso she had two days ago to celebrate her one month anniversary that is making her sick.
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SIGN   SYMPTOM   NEITHER
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Her last menstrual period was four weeks ago.
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SIGN  SYMPTOM   NEITHER
```

Abdominal exam is within normal limits.
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SIGN   SYMPTOM   NEITHER
```

The urinalysis report states that the urine is amber in color, cloudy, positive for white blood cells, protein, sheets of squamous epithelial cells, and bacteria, and within normal limits for everything else.
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SIGN   SYMPTOM   NEITHER
```

Now that you have separated out Mrs. Peigh's signs and symptoms, is there anything that concerns you?

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