ETHOS

I have diabetes and a high fever of over 100°F alongside cold symptoms.

Patient

Hi, thanks for taking my call. I'm not feeling too well, and I'm hoping to get some advice on what to do.

Triage Assistant

I'm sorry to hear that you're not feeling well. Where does it hurt?

Patient

I don't have any localized pain, but I've been feeling generally unwell.

Triage Assistant

Have you been experiencing any coughing or chest pain?

Patient

Yes, I've had a bit of a cough, and some congestion too.

Triage Assistant

When did the cough begin?

Patient

The cough started a couple of days ago, and it's gradually been getting worse.

Triage Assistant

How bad is the cough today on a scale from 1 to 10, with 10 being the worst pain you can imagine?

Patient

I'd say the cough is around a 6. It's uncomfortable but not excruciating.

Triage Assistant

Are you coughing up any sputum (mucus or phlegm)? If so, what color is it? If not, is it a dry cough?

Patient

It's mostly a dry cough, but sometimes there's a little bit of clear mucus.

Triage Assistant

Are you having any difficulty breathing? If yes, how bad is it (mild, moderate, severe)?

Patient

I wouldn't say I'm having difficulty breathing, but it's a bit more labored than usual. I'd classify it as mild.

Triage Assistant

Do you have a fever? If yes, what is your temperature, how was it measured, and when did it start?

Patient

Yes, I do have a fever. It's been consistently over 100°F. I measured it with an oral thermometer, and the fever started around the same time as the cough, a couple of days ago.

Triage Assistant

Do you have any history of heart or lung disease, such as heart attack, congestive heart failure, asthma, or emphysema?

Patient

No, I don't have any history of heart or lung disease.

Triage Assistant

Do you have any other symptoms, such as a runny nose, wheezing, or chest pain?

Patient

Along with the cough and fever, I do have a runny nose and some mild wheezing. No chest pain, though.

Triage Assistant

Based on your symptoms, you should see a healthcare provider soon. The combination of fever, cough, mild wheezing, and runny nose could indicate a respiratory infection or another underlying issue that needs professional evaluation. In the meantime, here are some first aid recommendations: - Use over-the-counter cough drops or hard candy to soothe your throat. - Try using a cough syrup containing dextromethorphan to help reduce coughing, especially at night. - Drink plenty of fluids to stay hydrated and help loosen mucus. - Consider using a humidifier to keep the air moist. - For fever, you can take acetaminophen or ibuprofen as recommended on the packaging. Thank you for calling, goodbye.

Dispositions

  • Call EMS 911 Now

  • See More Appropriate Protocol

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Today or Tomorrow

  • Strep Test Only Visit Today or Tomorrow

  • Home Care

  • Triage result should be Go to Office Now.

  • First aid advice was given.

  • All assesssment questions asked.