IHuman Case Study 18year Old Patient Reason for Encounter: Passed Out (Class 6512) Week 7 | CHAMBERLAIN UNIVERSITY NURSING

#Week 7 COMPREHESIVE IHUMAN CASE STUDY

18YEAR OLD PATIENT PASSED OUT

(CLASS 6512)

Reason for Encounter: Passed out

Patient information

• Age: 18 years old

• Weight: 220.0 lb (100.9 kg)

• Height: 6' 0" (183 cm)

CASE STUDY REPORT

Week #7 i-Human Case Study Class 6512

18-Year-Old Patient – Reason for encounter: Passed out Location: Unspecified

TITLE PAGE

Case Study Title:

Comprehensive Assessment of an 18-Year-Old Patient Presenting with Syncope Author:[Your Name]

Date:[Submission Date]

TABLE OF CONTENT

1. Introduction

2. Chief Complaint (CC)

3. History of Present Illness (HPI) – Includes HPI Questions and Answers

4. Past Medical, Social, and Family History

5. Review of Systems (ROS)

6. Physical Examination (PE)

7. Differential Diagnoses (DDX)

8. Diagnostic Workup

9. Final Diagnosis

10. Treatment Plan

11.Management Strategies

 12. Follow-Up and Prognosis

13. Discussion

14. References

 1. Introduction

Syncope in young adults is common yet multifaceted in its etiology,requiring thorough evaluation to rule out cardiac, neurological, or situational causes. This report focuses on evaluating the case of an18-year-old patient who presented after a syncopal episode, aimingfor accurate diagnosis and prompt intervention.

2. Chief Complaint (CC)

The patient states: “I passed out.”

3. History of Present Illness (HPI)

Patient’s Statement:

“I passed out at football practice. My trainer thinks it’s because of the

heat index being 100 and that I didn’t drink enough. We have a big game

tomorrow so I just need to make sure I can play.”

Senior in high school

 D E T A I L E D  H P I  Q U E S T I O N S  A N D  A N S W E R S

When did you pass out? – Just today

Did you hit your head? Did you lose consciousness? – A few seconds LOC.

How were you feeling prior to passing out? – During our afternoon practice we ran our 2 mile laps and Inoticed that I was struggling and my legs were hurting. All of the sudden I seemed to lose my hearing, noticed my vision changed. It was like just black and white, no color, then it coned down to a pinhole and next thing I remember, I am down on the track looking up at the trainer.

Any preceding symptoms or aggravating factors? – No shortness of breath before fainting. Muscles havebeen sore this week from working out.

How did you feel when you regained consciousness? Did not feel confused. Everyone was standing around me and looking at me. It took me a few seconds to recognize where I was. I didn’t remember falling, but after they told me I remembered the weird feeling leading up to the fall, I guess. I wasn’t outfor long.

Severity – Did you feel any pain?

Was the episode witnessed? – Yes. Dad (Ken Brown) reports that when he got to the field it had just happened. The trainer said that she noticed he had just stopped, stumbled a bit, and then went down.All happened about an hour ago.

Have you ever passed out before? No first time today.Patient reports sweating like crazy today.

+ Headache that started an hour into morning practice ( 6 hours ago.) Denies any trauma. 8/10 pain atlunchtime and now 3/10 pain. No come/go. Usually does not suffer from headaches.

Football is the only sport he plays now. Patient used to play lacrosse, but quit 2 years ago. He startedtwo practices a day this week.

Reports sleeping 6-8 hours per night

Do you have any ongoing medical issues? Only allergies and the things that were told to patient at lastvisit