Name: Charles Whitcomb1
Birth date: May 3, 19762
Drug allergies: Hives with sulfonamides3
Immunizations: 5 DTP injections recorded4
Monday, September 24, 1990
CHIEF COMPLAINT: Sore throat.
HISTORY: Throat started to hurt late Friday and has worsened gradually over the weekend. Hurts to swallow. Took temperature once: 100°F last night. Nose stuffy. Thinks he has swollen glands.
PHYSICAL EXAMINATION: Fairly comfortable; complaining of throat pain.
Temperature: 101°F orally.
Tympanic membranes: clear.
Nose: No discharge but sounds stuffy.
Pharynx: Small tonsils; mildly erythematous; no exudate. Posterior soft palate and uvula mildly swollen; no petechiae.
Neck: 1.0 cm mildly tender lymph node at each mandibular angle. A few smaller anterior and a number of 0.5 cm posterior cervical nodes. Neck fully supple.