Case study

Marisol is a 26-year-old who presents with complaints of body aches and a low-grade fever for the past four days that she has treated with Tylenol. She has been having a non-productive cough. Her mother has had similar symptoms for the past two days. Marisol reports that she attended a baptismal party for a cousin over the weekend but all of the guests were fully vaccinated against the COVID-19 virus and she has already had her first dose two weeks ago. Her last menstrual period was three weeks ago and was regular.
For the case you have chosen, post to the discussion:
• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list:
o Pertinent positive findings that validate your main diagnosis
o Pertinent negative findings that make you think of other differential diagnoses
o Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics , health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.