1. What is your most probable diagnosis and differential diagnosis?
Given the patient’s symptoms including, headache, night sweats, sore throat, dry cough, and physical exam findings, the most likely diagnosis in influenza with pneumonia. Influenza is an illness that affects multiple systems such as, the head, eyes, nose, throat, lungs, heart, and the central nervous system. Although influenza is usually self-limited, many complications may develop, particularly with the pulmonary system. Some differential diagnosis of influenza are, infectious mononucleosis, viral or streptococcal tonsillitis, atypical mycoplasma pneumonia, Q fever, syncytial virus, adenovirus, enterovirus, and acute respiratory distress syndrome (Erlikh, Abraham, …show more content…
Nonetheless, aspirin should not be used in children younger than 16 years due to risk of Reye syndrome (Erlikh, Abraham, & Kondamudi, 2010).
7. What are the complications associated with your diagnosis?
The main complications associated with influenza include, acute sinusitis, croup, bronchitis, pneumonia, apnea in neonates, rhabdomyolysis, chronic obstructive pulmonary disease or congestive heart failure exacerbation, encephalitis, multiorgan failure, and death (Ison, 2012).
8. What would be the admission criteria for this diagnosis?
Hospitalization for a patient with influenza is based on the complications developed and/ or evaluation of high-risk groups including, neonates, infants, pregnant, elderly, and persons with certain immunosuppressive medical conditions such as, cardiovascular diseases, chronic pulmonary medical conditions, metabolic disorders, and neuromuscular conditions (Siqueira, & Hay, 2012).
9. Would this patient need admission?
Mike presents multiple signs and symptoms of influenza complications including, abnormal vital signs, dyspnea, and abnormal pulmonary examination. Furthermore, his history of chronic smoking makes him a high-risk patient, increasing his morbidity risk. Therefore, hospitalization is