She has pain in her wrists, shoulders, hips, knees, and ankles. She had chicken pox at age 8 but was otherwise healthy. She has never been hospitalized. She has never been pregnant. She is sexually active and has had six lifetime partners. She takes birth control pills. She lives alone. She smokes cigarettes occasionally, drinks alcohol socially, and denies illicit drug use. Her parents and siblings are healthy. Based on the collected data, cluster your findings according to review of systems. (20 items)
Maria Corazon is a 25-year-old graphic artist who came in the outpatient department for evaluation of fever. The fever started 10 days ago. She states that the fever comes and goes it lasts for 30 - 60 minutes; she takes paracetamol, and it gets better, but then it comes back after 4 hours. She has checked her temperature; the highest was 38.6ºC and the lowest was 37.9ºC. She denies any sick contacts. She has lost her appetite and has been trying to drink more fluids to avoid dehydration. She has lost almost 5 kilograms. She has a throbbing headache that seems to remain after the fever goes down and some neck soreness. She denies changes in her vision or her hearing, but her ears hurt. She has a sore throat and increased drainage out of her nose as well as nasal congestion. She has pain in her face and in her teeth. She has a cough but denies any sputum production. She has no chest pain but sometimes experienced palpitations. She has no abdominal pain, diarrhea, dysuria, pelvic pain, or vaginal discharge. She has no swelling in her legs. She has soreness in the muscles all over her body, and even her scalp hurts. She has pain in her wrists, shoulders, hips, knees, and ankles. She had chicken pox at age 8 but was otherwise healthy. She has never been hospitalized. She has never been pregnant. She is sexually active and has had six lifetime partners. She takes birth control pills. She lives alone. She smokes cigarettes occasionally, drinks alcohol socially, and denies illicit drug use. Her parents and siblings are healthy. Based on the collected data, cluster your findings according to review of systems. (20 items)
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