Mrs. H. T. 28-year-old Caucasian female married lives with spouse for eight years, and two children a boy six and a girl seven years of age. No one in the home is sick expect K.T. She presented to family practice on Tuesday afternoon for a follow-up. Complete Z-pak for Tonsillitis two week ago, and continues to spike a temp of 100.5 to 103 even into the third weeks. Experiencing shakes and chills on and off at home, work, and feel drained. Taking Tylenol 650 mg q4h for temp. She experiences seasonal allergy one or twice a year.
Medication
1.Atorvastatin 40 mg daily 2. Tylenol 650 mg QID 3. Lisinopril 10 mg daily
Allergies: Denies food or medication.
Past Medical History: Hyperlipidemia, Tonsillitis, seasonal allergy
Past Surgical History: denies any …show more content…
Canker Sore: (Aphthous Ulcer) “is defined as a shallow, painful and often recurrent lesion of the mucosa” (Buttaro, Trybulski, Bailey & Sandberg-Cook, 2013).
Oral Cancer: “Cancer can also occur at in the back, or base, of the tongue. It may be harder to detect, especially because there’s no pain at first” (healthline.com ›Dental and Oral Health)
Plan:
Lab draw for CBC& Sedimentation rate: “to help detect inflammation associated with conditions such as infections, cancers, and autoimmune diseases” (https://labtestsonline.org)
Blood culture x2: To identify a systemic infection and to detect and identify bacteria or yeast in the blood” (https://labtestsonline.org).
Throat culture (Tzanck smear) & Biopsy “A throat culture is a test to find germs (such as bacteria or a fungus) that can cause an infection” (webmd.com/oral-health/throat-culture#1)1
HPV: The viruses that cause the papilloma can be transmitted by sexual contact, resulting in HPV-related cancers of the oropharynx (Buttaro et.al,
Medication
1.Atorvastatin 40 mg daily 2. Tylenol 650 mg QID 3. Lisinopril 10 mg daily
Allergies: Denies food or medication.
Past Medical History: Hyperlipidemia, Tonsillitis, seasonal allergy
Past Surgical History: denies any …show more content…
Canker Sore: (Aphthous Ulcer) “is defined as a shallow, painful and often recurrent lesion of the mucosa” (Buttaro, Trybulski, Bailey & Sandberg-Cook, 2013).
Oral Cancer: “Cancer can also occur at in the back, or base, of the tongue. It may be harder to detect, especially because there’s no pain at first” (healthline.com ›Dental and Oral Health)
Plan:
Lab draw for CBC& Sedimentation rate: “to help detect inflammation associated with conditions such as infections, cancers, and autoimmune diseases” (https://labtestsonline.org)
Blood culture x2: To identify a systemic infection and to detect and identify bacteria or yeast in the blood” (https://labtestsonline.org).
Throat culture (Tzanck smear) & Biopsy “A throat culture is a test to find germs (such as bacteria or a fungus) that can cause an infection” (webmd.com/oral-health/throat-culture#1)1
HPV: The viruses that cause the papilloma can be transmitted by sexual contact, resulting in HPV-related cancers of the oropharynx (Buttaro et.al,