I HUMAN WEEK 4 NURS 2026 52 YEAR OLD FEMALE
PRESENTING WITH PROGRESSIVE FATIGUE AND
SHORTNESS OF BREATH AT OUTPATIENT CLINIC UTILIZING
SYSTEMATIC CLINICAL ASSESSMENT, DIFFERENTIAL
DIAGNOSIS, AND MANAGEMENT
,PATIENT INFORMATION
Age: 52 years
Sex: Female
Height: 5′5″ (165 cm)
Weight: 168.0 lb (76.2 kg)
Location: Outpatient clinic with laboratory and imaging support
Reason for Encounter: Fatigue and shortness of breath
Explanation: Vanessa Rivas is a 52-year-old female presenting with a several-week history of increasing
fatigue and shortness of breath on exertion that has begun to limit her daily activities. She also reports
associated symptoms of occasional palpitations and lower extremity swelling. This visit is focused on
identifying underlying causes and developing a diagnostic and management plan.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient clinic visit
Chief Complaint Progressive fatigue and shortness of breath
Duration Several weeks
Frequency Daily, worsening with exertion
Associated
Occasional palpitations, mild bilateral ankle swelling
Symptoms
Aggravating Factors Physical activity, climbing stairs
Relieving Factors Rest, sitting upright
Systemic Symptoms Denies fever, chills, chest pain at rest
Determine cause of symptoms, improve breathing and energy, prevent
Patient Goals
deterioration
Explanation: The patient reports insidious onset of fatigue and exertional dyspnea over several weeks,
most noticeable with daily activities and climbing stairs. She notes occasional palpitations and mild
swelling of both ankles in the evenings. Rest improves symptoms temporarily. She denies acute
symptoms such as fever or resting chest pain. Her goals are to identify the cause, receive an appropriate
treatment plan, and regain functional capacity.
PRESENTING WITH PROGRESSIVE FATIGUE AND
SHORTNESS OF BREATH AT OUTPATIENT CLINIC UTILIZING
SYSTEMATIC CLINICAL ASSESSMENT, DIFFERENTIAL
DIAGNOSIS, AND MANAGEMENT
,PATIENT INFORMATION
Age: 52 years
Sex: Female
Height: 5′5″ (165 cm)
Weight: 168.0 lb (76.2 kg)
Location: Outpatient clinic with laboratory and imaging support
Reason for Encounter: Fatigue and shortness of breath
Explanation: Vanessa Rivas is a 52-year-old female presenting with a several-week history of increasing
fatigue and shortness of breath on exertion that has begun to limit her daily activities. She also reports
associated symptoms of occasional palpitations and lower extremity swelling. This visit is focused on
identifying underlying causes and developing a diagnostic and management plan.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient clinic visit
Chief Complaint Progressive fatigue and shortness of breath
Duration Several weeks
Frequency Daily, worsening with exertion
Associated
Occasional palpitations, mild bilateral ankle swelling
Symptoms
Aggravating Factors Physical activity, climbing stairs
Relieving Factors Rest, sitting upright
Systemic Symptoms Denies fever, chills, chest pain at rest
Determine cause of symptoms, improve breathing and energy, prevent
Patient Goals
deterioration
Explanation: The patient reports insidious onset of fatigue and exertional dyspnea over several weeks,
most noticeable with daily activities and climbing stairs. She notes occasional palpitations and mild
swelling of both ankles in the evenings. Rest improves symptoms temporarily. She denies acute
symptoms such as fever or resting chest pain. Her goals are to identify the cause, receive an appropriate
treatment plan, and regain functional capacity.
