Any sore muscles, weakness, fatigue
Johnny is a 9 y/o Asian male. Mother states he has had a rash to his chest for one day but
has been complaining of a bad and worsening sore throat for five days. Mother states her youngest
son Freddie had some left-over Amoxil and so she gave Johnny some of it yesterday. No cough. Lungs
CTA bil. No significant PMH. No medications. No known drug allergies. BMI 18.
Impression/concerns
Questions for Johnny- Any sore muscles, weakness, fatigue, how is your appetite? Do you have any
stomach pain or headaches? Chest pain? Chest pain, feeling like you need to vomit? How many
bowel movements in one day?
Questions for Ginger- Any recent upper respiratory infection, has only one in the household
have/had Mono? Has Johnny had an ear infection? Are you involved? Would Johnny school? Do
you go to school events? Do you meet Johnny teachers? Do you encourage Johnny to join school
and community groups such as sports teams or volunteer for a charity? Does Johnny have any
friends? If so, have you met his friend(s) parents?