HPI: Greg Brazier, a 30 year old male presents, to the clinic with a 3 week history of mildly productive hacking cough. He reports the following: feeling “wheezy” getting over a “winter cold” a few weeks prior to this episode fatigue and intermittent fever coughing so much his chest hurts a mild sore throat and nasal congestion denies recent travel denies sick contacts Greg has no history of lung disease. PMH: Positive recurrent childhood tonsillitis. PSH: Tonsillectomy MEDS: Mucinex D BID; No other medications, vitamins, or supplements. SOCIAL Hx: Single farmer, lives alone in rural Illinois. He has never smoked or used other forms of tobacco. He drinks an occasional beer. ROS: General: Denies unplanned weight loss. HEENT: See HPI. Denies headache, facial pain, otalgia, tinnitus, or vision changes. RESP: See HPI. Denies shortness of breath or pain with inspiration. CV: Denies chest pain, palpitations, or peripheral edema. GI: Denies heartburn, nausea, vomiting, diarrhea, or abdominal pain. PHYSICAL EXAM: Temp 99.6 F Pulse 96 bpm BP 128/82 mm Hg Resp 22 shallow Oxygen Saturation 97% room air HEENT Exam: No oropharyngeal erythema or uvular deviation. Nares are mildly erythematous with gray boggy turbinates. No maxillary or frontal sinus tenderness. No anterior or posterior cervical lymphadenopathy. RESP: Vesicular breath sounds with scattered mild coarseness and occasional faint wheezing. CV: RRR, S1, S2, No gallop, rub, or murmur. Action Items Compose an evidence-based response to the following items. As a guide, your response should be in the 250-400 word range. However, focus more on your response and the evidence you draw on rather than the word count. Use APA format. Here are the items to address: What are some of your differential diagnoses in this case?What other information would you seek from this patient?What tests or diagnostic tools would you consider in this case, if any?
[Expert Solution]: HPI: Greg Brazier, a 30 year old male…
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