Thomas Smith (DOB 7/17/2016) is an elementary

Thomas Smith (DOB 7/17/2016) is an elementary school student brought to your office by his mother. Thomas has had a fever and a sore throat for 24 hr. He is normally healthy and he has never had any surgery. Other children in his classroom have been ill with similar symptoms. Thomas has no siblings and he lives with both his mother and father. There are no smokers in his household. He has no difficulty swallowing. He has not vomited or had diarrhea. His mother states that Thomas has had a decreased appetite but that he is drinking liquids. Thomas takes no medications and his mother has not given him anything for his fever. His mother said that Thomas has no known allergies. You take his vital signs as follows: BP 90/60 mm Hg; HR 100 bpm and regular; respiratory rate 20 breath/min; temperature (oral) 103.50 F. 1. Enter the patient data into the medical record. Patient Name: Date of Birth: Age: Date of Service: Provider: Chief Complaint: Known Allergies: Present Illness: Medications: Past Medical History: Family History: Social History: Diet: Physical Activity: Vital Signs (TPR B/P): Height: Weight: 2. What precautions do you take considering his present illness? 3. Do you have any hunches about what office tests the physician may order upon examining the patient? 4. What supplies would you need if the physician ordered the test?

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