The patient has a history of type 2 diabetes mellitus diagnosed in 2018, well-controlled on metformin. Additionally, the patient underwent appendectomy in 2020 without postoperative complications.
Clinical Notes
The patient presents with a 3-day history of worsening cough and fever, peaking at 38.5°C, noted for decreased appetite. Physical examination reveals bilateral wheezing and crackles on lung auscultation, suggestive of a respiratory infection.
Complaint
An account of the present illness, which includes the circumstances surrounding the onset of recent health changes and the chronology of subsequent events that have led the patient to seek medi
Medications
The patient has a history of type 2 diabetes mellitus diagnosed in 2018, well-controlled on metformin. Additionally, the patient underwent appendectomy in 2020 without postoperative complications.
An account of the present illness, which includes the circumstances surrounding the onset of recent health changes and the chronology of subsequent events that have led the patient to seek medicine