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Fatigue | Comprehensive Assessment, Differential Diagnosis | Verified Clinical
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Evaluation & Study Guide
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i-IHumanICaseIWeekI#7:I28-Year-OldIMaleI–ICoughIandIFatigueI(2025I
Update)IPatientIInformationI
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Age/Sex:I28-year-oldImaleI
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Height:I170IcmI
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Weight:I68.2IkgI
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BMI:I23.6Ikg/m²I(normal)I
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DateIofIVisit:IWeekI7IencounterI
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Setting:IOutpatientIprimaryIcareIclinicI
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.±nReasonIforIEncounterI
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“I’veIbeenIcoughingIandIfeelingIreallyItiredIforIaboutItwoIweeks.”I
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'çCISubjectiveIDataI
ChiefIComplaintI
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CoughIandIfatigueIforI2Iweeks.I
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HistoryIofIPresentIIllnessI(HPI)I
TheIpatientIreportsIaIpersistent,InonproductiveIcoughIforItheIpastI14Idays,IinitiallyImildIb
utIworseningIoverItheIlastIweek.IHeInotesIfatigue,ImildIshortnessIofIbreathIonIexertion,Ia
ndIoccasionalIchestItightness,IbutIdeniesIfever,Ichills,Iwheezing,Ihemoptysis,IorIchestIp
ain.I
HeItookIover-the-
counterIcoughIsyrupIwithIminimalIrelief.INoIrecentItravel,IsickIcontacts,IorIexposureItoItuber
culosis.IHeIworksIasIanIofficeIadministrator.I
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Onset:I2IweeksIagoI
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Duration:IContinuousI
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Character:IDryIcoughI
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AssociatedIsymptoms:IFatigue,ImildISOBI
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Aggravating:IColdIair,ItalkingI
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Relieving:IRestI
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Severity:I5/10I(moderateIimpactIonIworkIandIsleep)I
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PastIMedicalIHistoryI(PMH)I
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