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Report ID
#MED-2025-8921
John Doe
P-45922
42 / Male
Dr. Sarah Smith
Current Vitals Stable
BP 120/80 mmHg
HR 72 bpm
Temp 98.6 °F
History Trend

Clinical Findings

Patient presents with mild respiratory discomfort. Auscultation reveals clear breath sounds bilaterally. No wheezing or rales detected. Throat examination shows mild erythema without exudate.

Preliminary assessment suggests a viral upper respiratory infection.

Patient Summary (Layman's Terms)

What does this mean?
You likely have a common cold or a mild throat infection caused by a virus. It is not serious and usually goes away on its own.

Next Steps:

  • Rest and drink plenty of fluids (water, soup).
  • Take over-the-counter pain relievers if your throat hurts.
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Health Score
85/100
Adherence
92%

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