IHuman 60-Years Old Female- Shortness Of Breath | Comprehensive Case Study
COMPREHENSIVE IHUMAN CASE STUDY 60-YEARS OLD FEMALE REASON FOR ENCOUNTER SHORTNESS OF BREATH
IHUMAN CASE ANALYSIS WEEK 3 CLASS 6550
PATIENT INFORMATION
Age: 60 Gender: Female
Height: 5’ 4” (163cm)
Weight: 180lb (83.2kg)
Chief Complaint (CC): "I've been feeling short of breath for the past few days."
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3 5 . When did the shortness of breath start?
• Patient Answer: "It started about a week ago. It was mild at first but has
gradually gotten worse."
6. Is the shortness of breath constant or does it come and go?
• Patient Answer: "It's pretty much constant now, but it feels worse when I
exert myself or at night."
7. Can you describe how the shortness of breath feels?
• Patient Answer: "It feels like tightness in my chest, and I can’t seem to catch
my breath."
8. On a scale from 0 to 10, how severe is your shortness of breath right now?
• Patient Answer: "Right now, I’d say it’s about a 6 out of 10."
9. Does anything make your shortness of breath worse?
• Patient Answer: "Yes, it’s worse when I try to walk or climb stairs, or when I
lie flat in bed."
10. Is there anything that makes it better?
• Patient Answer: "Sitting upright and resting helps a little."
11. Have you experienced shortness of breath like this before?
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• Patient Answer: "I had something similar about six months ago, but it
wasn’t this bad and it went away on its own."
12. Have you noticed swelling anywhere in your body?
• Patient Answer: "Yes, my ankles seem to swell up by the end of the day."
13. Have you been coughing? If yes, what does it look like?
• Patient Answer: "Yes, I’ve had a dry cough on and off, but there’s no mucus
or blood."
14. Have you been feeling more tired or fatigued lately?
• Patient Answer: "Yes, I get tired more easily than before, even when doing
simple tasks."
15. Have you had any chest pain or pressure?
• Patient Answer: "No, I haven’t felt any chest pain."
16. Have you experienced any palpitations or rapid heartbeat?
• Patient Answer: "Sometimes I feel my heart racing, especially when I’m
short of breath."