URTI/cough

onset

hours days weeks months years sudden gradual

new?

new issue known/chronic

symptoms

rhinorrhea sore throat fever/chills odynophagia SOB

cough

dry cough cough, productive clear/white sputum brown sputum green sputum hemoptysis

intensity

mild mild-moderate moderate moderate-severe severe

status

improving unchanged resolved gradually worsening significant worsening

HPI

---

negatives/ROS

appearance

normal

vitals

normal

HEENT

eyes normal
throat normal erythema
neck no neck nodes mild tender nodes
TM normal

CVS

normal

chest

normal

other

Assessment:

viral URTI acute pharyngitis pneumonia bronchitis post viral cough GERD

Centor

+ cough  –
+ swollen, tender cervical nodes  –
+ fever  –
+ tonsillar exudates  –
age: 3-14 15-44 ≥45
score: 0 1 2 3 ≥4

rapid strep

not indicated yes

details

---

Plan:

covid

not required pt will book done in clinic

self isolation

instructions

antibiotics

none empiric pending strep test

symptomatic tx

PO hydration tylenol PO NSAIDs lozenges, tea with honey

investigations

CXR

follow-up

2-4 weeks PRN only

RTC

instructions given

other