PopperSIMClinical reasoning lab
Case 04
Simulated encounter
08:428-year-old with fever and cough
Student-authored patterns
3 hypotheses · 3 findingsDifferential map
Reported symptoms
Cough × 3 days
Fever since yesterday
Pain with deep breathing
Vital trend
Temp 100.4°F → 102.1°F
RR mildly elevated
SpO₂ 97%
Respiratory assessment
Decreased breath sounds on right
Pending source
Chest X-ray report
A
Diffuse respiratory patternunder review
B
Focal pulmonary patterncompare
C
documentedpendingcompareObstructive airway patterncompare
Case update
The differential remains open. The chest imaging report is pending.
