Passage / Scenario

Client reports, ÔÇ£I have a coughÔÇØ

History of present illness: 38-year-old client presents to the ED with a 4 day history of cough, often productive. Client reports fatigue, night sweats and a low-grade fever. Client reports ÔÇ£blood-tinged sputumÔÇØ. Client also reports, ÔÇ£I used to weigh 167 pounds. Now I weigh 162 pounds.ÔÇØ Client reports a decreased appetite along with the 2.26kg (5lb) weight loss over the past week. Client states they have been trying to stay hydrated.

Family history: Child has asthma. All other family members healthy.

Social history: Heavy alcohol use (4 to 5 drinks per day), denies tobacco or illicit drug use. Recently traveled to visit their family in South Africa and stayed for 3 weeks