SOLVED1442

An adult patient presents with about 1 month of cough, intermittent chills, subjective fevers, myalgias, and anorexia. They thought they had just caught a cold, but they “just can’t shake it.” They report no other past medical history and only take OTC pain relievers occasionally for the symptoms. They smoke a few cigarettes a week in social settings. They deny GI and urinary symptoms. They deny recent travel or camping and have had no known sick contacts. Vitals are BP 130/80, HR 98, RR 18, Sat 96% on RA, and Temp 99.9 F. Exam reveals mild skin pallor, slightly injected conjunctiva, cobblestoning of the pharynx, and a few coarse rhonchi in the lungs. The abdomen is soft and nontender. Rapid CBC shows WBC 2.8, hgb 15, and platelets 120. The chest X-ray appears normal. What should be done next for this patient? A. Draw full metabolic panel of labs and refer to Infectious Disease B. Draw blood cultures, lyme screen, and monospot C. Ask about HIV risk factors D. Start 1-week course of levofloxicin
SCIENCE
HEALTH SCIENCE
NURSING

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