Mullberry Whine

poured out before bed

Sick Day

...I'm afraid it's the chair (all day) for Mullberry...

Identifying data: Mrs. Mullberry Whine is a 20-something female medical student who presents for evaluation of sore throat, productive cough, and fever x1day.

Chief Complaint:  “My throat is killing me – listen to how funny my voice sounds!”

History of the Present Illness:  Ms. Whine was in her usual state of decent health when one day prior to presentation she developed sore throat.  Later that evening, she experienced cough productive of non-bloody yellow-green sputum, low grade retrobulbar headache, diffuse myalgias, chills, and a fever of 101.2 per oral thermometer.   She further reports mild nausea, non-bloody loose stools (bristol scale 6) without mucous x5 this am, and poor appetite.  She denies vomiting, nasal congestion or discharge, redness, itching, or discharge of the eyes, rash, chest pain or shortness of breath, dysuria, urinary frequency, or change in color/quality of urine.  Of note, she has been working nights on the peds pulmonary and GI teams for the last week and has been in contact with multiple patients known to be infected with influenza A/B, human parainfluenza virus, human metapneumovirus, adenovirus, rhinovirus, and/or respiratory syncyitial virus.

[Skipping Past Medical History (too interesting), Past Surgical History (too boring), Allergies (none at all, thank goodness, except that pesky one to stupid people), Immunizations (yes, they are ALL up to date), Medications (I need a pill box to keep ’em straight), Family History (leave my mother out of this!), Social History (well rounded), Review of Systems (negative but for those listed in the HPI), Physical Exam (where you goin’ with that tongue depressor, mister?!), Lab Results (ouch, gag), and Imaging straight to – ]

Assessment: Mrs. Whine is a 20-something female with a one day history of  symptoms and physical exam findings consistent with and sick contacts to support acute viral URI.

Plan:

  • Pharyngeal swabs for Flu A&B, HPIV, HMV, adenovirus, rhinovirus, and RSV sent to lab.  Rapid strep test and rapid flu test in office negative.
  • Rx Oseltamivir (Tamiflu) pending viral swab results.
  • Encourage PRN tylenol for pain and fever (not to exceed 4 grams), increased fluid intake, and rest (preferably in a soft, bright papasan).
  • And no going to work to spread her nasty germs to already sick kiddos.
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4 comments on “Sick Day

  1. Peace Of Iran
    March 19, 2012

    Oh feel better! Sickness is no laughing matter… but your post was funny 🙂

    • mullberrywhine
      March 20, 2012

      I’m glad my suffering has brought joy to another! 😉 And I am feeling quite a bit better, thanks! Stay healthy out there.

  2. Ms. K, PhD
    March 20, 2012

    Booo!!!!! If I had anything to say about this there would be warm chicken and barley soup to cool your tummy. Hope you get to feeling better soon. ~ Ms. K, PhD

    • mullberrywhine
      March 21, 2012

      Dr. K, I concur with your treatment plan, sounds solid on all levels. Thanks for the well wishes – I hope I stop feeling like poo soon, too. I seem to feel better for a while, then relapse back into febrile misery, and it’s REALLY cramping my style! ;( Stay healthy, and take good care!

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This entry was posted on March 19, 2012 by in Life, On Pediatrics, Sharing, Taking Care and tagged , , , , , .

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Nothing under the table.
***
The views expressed on "Mullberry Whine" are NOT intended to diagnose or treat disease.
***
The med-ed related stories described here are based on real events. Details have been changed in accordance with HIPAA de-identification guidelines to protect confidentiality.
***
Mullberry Whine can be enjoyed daily; there is no unsafe quantity. Real wine, though, should be enjoyed in moderation. At-Risk Drinking for males under 65 is defined as >14 alcoholic beverages per week or >4/day, with >7 drinks a week or >3/day being the cut-off for females under 65 and for anyone, male or female, who has graced this planet for 65 years for more. Drink Mullberry Whine like there are no consequences. But drink alcohol responsibly. Your friends, your family, your health-care provider, and your liver - heck, ALL of the organs in your body - will thank you.
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