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Directions Max, a 19-year-old college freshman, complains of fever, malaise, and nausea. He
says he came into the clinic because he feels too weak to go to class. Additionally, he reports
having no appetite. For symptom relief, Max has taken ibuprofen. Max has no previous health
conditions to report except that he was told that as a small child, he had reactive airway disease.
He works part time while attending college. His only sibling is alive and well. Both parents are
alive, and Max's father takes medication for hypertension. Max lives in a college dorm with 1
roontmate, and his dorm houses about 150 students. He denies having a cough. Additionally,
Max says that his throat is slightly sore, but he is not sure whether it is because he has been
vomiting. He also says that his nose is somewhat stuffy. Max says that he does not know of
anyone around who is ill but that he takes classes in lecture halls with about 100 other students
several days a week. His temperature in the office is 101. 2 F . Max's ears are clear upon
examination, and his throat is mildly red. His blood pressure is within the normal range, his pulse
rate is 104 , and his respiratory rate is 20. Max's lungs are clear to auscultation. Based on Max's
current presentation and symptoms come up with a diagnosis. Discuss the reason for your answer
include recommendations or treatments?

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