2-year-old Caucasian male that presents to the office with his

2-year-old Caucasian male that presents to the office with his mother Renee for complaints of runny nose, cough, and fever. The patient’s mother reports that the runny nose and cough began two days ago. The cough is dry and has no sputum production. There isn’t anything that makes the cough or runny nose better or worse. The cough hasn’t had any change over time. He has not had any treatments for his cough or runny nose. His mother has not noticed her child pulling on his ears. She believes he may have pain because he has been so fussy, but her son is not able to tell her where. Nick attends daycare daily and was sent home yesterday for a fever of 100.9F. All morning the patient has been fussy with a fever of 101 F at home. His mother states that he receives Tylenol every four hours when he has a temperature, which causes the fever to subside, but it returns a few hours later. His mother reports that he woke up several times last night crying with a fever. His mother also reports that he has had decreased appetite and has not been eating well. The patient has been drinking normally, about 18 ounces of whole milk in his sippy cup, but his appetite for food has been decreased the last couple of days. She reports no nausea and no vomiting

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