,Patient Information
Name: Marvin Webster
Age: 18 years old
Gender: Male
Setting: Outpatient Student Health Clinic
Chief Complaint: “I feel awful… I’m exhausted. I have a cough and
body aches.”
Reason for Encounter: Fatigue and cough
History of Present Illness (HPI)Narrative: Marvin Webster, an 18-year-
old Caucasian male college student, presents to the student health
clinic complaining of fatigue, a nonproductive cough, and generalized
body aches for the past 4 days. He describes feeling “awful” and reports
that his most distressing symptom is exhaustion, which prevents him
from attending classes and studying effectively. The cough is dry,
, persistent, and worsens at night, causing sleep disruption. Marvin rates
his fatigue as 7/10 in severity and notes it is unrelated to physical
exertion, persisting even with rest. He also reports a sore throat,
describing it as feeling like “swallowing razor blades” (6–8/10 severity),
and a mild headache (3–10 severity), both starting concurrently with
the cough and fatigue. The sore throat is not relieved by over-the-
counter (OTC) ibuprofen or steam inhalation, though ibuprofen mildly
alleviates the headache. Marvin denies sputum production,
hemoptysis, shortness of breath, chest pain, fever, chills, or night
sweats. He reports a sick contact—his roommate was ill with similar
symptoms 1 week ago—but denies recent travel or known exposure to
tuberculosis or other infectious agents.Marvin’s symptoms began
suddenly, without a clear precipitating event, following a resolved flu-
like illness 2 weeks ago. He denies nausea, vomiting, diarrhea, weight
loss, or neurological symptoms (e.g., dizziness, weakness, numbness).
His medical history includes mild childhood asthma, with no recent
exacerbations or need for medications. Marvin takes ibuprofen 400 mg
Name: Marvin Webster
Age: 18 years old
Gender: Male
Setting: Outpatient Student Health Clinic
Chief Complaint: “I feel awful… I’m exhausted. I have a cough and
body aches.”
Reason for Encounter: Fatigue and cough
History of Present Illness (HPI)Narrative: Marvin Webster, an 18-year-
old Caucasian male college student, presents to the student health
clinic complaining of fatigue, a nonproductive cough, and generalized
body aches for the past 4 days. He describes feeling “awful” and reports
that his most distressing symptom is exhaustion, which prevents him
from attending classes and studying effectively. The cough is dry,
, persistent, and worsens at night, causing sleep disruption. Marvin rates
his fatigue as 7/10 in severity and notes it is unrelated to physical
exertion, persisting even with rest. He also reports a sore throat,
describing it as feeling like “swallowing razor blades” (6–8/10 severity),
and a mild headache (3–10 severity), both starting concurrently with
the cough and fatigue. The sore throat is not relieved by over-the-
counter (OTC) ibuprofen or steam inhalation, though ibuprofen mildly
alleviates the headache. Marvin denies sputum production,
hemoptysis, shortness of breath, chest pain, fever, chills, or night
sweats. He reports a sick contact—his roommate was ill with similar
symptoms 1 week ago—but denies recent travel or known exposure to
tuberculosis or other infectious agents.Marvin’s symptoms began
suddenly, without a clear precipitating event, following a resolved flu-
like illness 2 weeks ago. He denies nausea, vomiting, diarrhea, weight
loss, or neurological symptoms (e.g., dizziness, weakness, numbness).
His medical history includes mild childhood asthma, with no recent
exacerbations or need for medications. Marvin takes ibuprofen 400 mg
