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Amanda Wheaton Case Study Problem Statement
Amanda Wheaton’s case of Strep Pharyngitis serves as an exemplary illustration of iHuman’s efficacy in medical education. As users navigate through Amanda’s history, symptoms, physical examination findings, and laboratory results, they are prompted to formulate differential diagnoses, order appropriate diagnostic tests, and devise comprehensive treatment plans.
Amanda Wheaton – Strep Pharyngitis SOAP Note Writing Service
Central to the clinical encounter is the documentation of patient encounters through SOAP (Subjective, Objective, Assessment, Plan) notes. iHuman Case Study Solutions recognizes the importance of honing this skill and offers a dedicated SOAP Note writing service tailored to each case.
iHuman Case – Amanda Wheaton – Strep Pharyngitis SOAP Note Example
S (Subjective)
- Presenting Complaint: Amanda Wheaton, a 20-year-old female, complains of a sore throat that began two days ago.
- Severity: The pain is described as moderate and scratchy, worse on swallowing.
- Associated Symptoms: Amanda reports difficulty swallowing, mild fever (temperature not quantified in this iHuman case), fatigue, and headache.
- Denies: Nausea, vomiting, cough, rash, or loss of taste/smell.
- Past Medical History: Not significant (unavailable in some iHuman case formats).
- Medications: None (unavailable in some iHuman case formats).
O (Objective)
- Vital Signs: Vital signs might not be available in this iHuman case study. If available, note any elevated temperature (>38°C or 100.4°F) that could support a potential infection.
- Physical Exam: A physical exam in a simulated iHuman environment might have limitations. However, if the platform allows, focus on:
- Oropharynx: Look for erythema (redness) of the pharynx and tonsils, possible exudates (pus) on the tonsils.
- Cervical Lymph Nodes: Palpate for enlarged or tender lymph nodes in the anterior cervical chain.
A (Assessment)
Differential Diagnoses:
- Strep throat (Streptococcal pharyngitis): This is the most likely diagnosis based on Amanda’s symptoms, particularly the sore throat, difficulty swallowing, and fever (if present).
- Viral pharyngitis: This is also common and can cause a sore throat, but typically without fever or swollen lymph nodes.
- Mononucleosis (Mono): While less likely, mono can cause sore throat, fever, fatigue, and swollen lymph nodes. However, it often presents with additional symptoms like swollen spleen and atypical lymphocytes on a blood test (unavailable in iHuman cases).
- Peritonsillar abscess: This is a complication of tonsillitis and can cause severe sore throat, difficulty swallowing, and trismus (difficulty opening the mouth). However, it’s less common and would likely present with other signs on a simulated exam (limited in iHuman cases).
- Working Diagnosis: Based on the presenting complaint and available information, the most likely diagnosis is strep throat.
P (Plan)
Further Investigations (within the iHuman case limitations):
- If possible within the iHuman case environment, consider a rapid strep test to confirm or rule out streptococcal infection.
Management (applicable options within the iHuman case simulation)
- If strep throat is confirmed, recommend antibiotic therapy following appropriate guidelines (specific antibiotics might not be applicable in iHuman cases).
- Advise supportive measures like gargling with warm salt water, staying hydrated, and using lozenges for throat pain relief.
Education
- Educate Amanda about strep throat, its contagious nature, and the importance of completing the antibiotic course if prescribed (applicable within the simulation).
- Advise her on hygiene measures to prevent further spread.
- Disposition: Depending on the iHuman case format, the plan might involve scheduling a follow-up visit to monitor her progress.
Note: This SOAP note is based on the information provided in the iHuman case scenario “Amanda Wheaton – Strep Pharyngitis.” The absence of certain findings due to the simulated nature of the case might limit the assessment.
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