i-Human Case Week 7: 65-Year-Old Male with Nausea and Fatigue – Complete Clinical Solution, Full HPI, Differential Diagnosis, & DKA Management Plan (Graded A+)

-Human Case Week 7: 65-Year-Old Male with Nausea
i

and Fatigue – Complete Clinical Solution, Full HPI,
Differential Diagnosis, & DKA Management Plan
(Graded A+)

, Patient Demographics & Encounter Summary


 Age / Sex: 65-Year-Old Male

 Height: 5'8" (173 cm)

 Weight: 204.0 lb (92.5 kg) | BMI: 31.0 $\text{kg/m}^2$ (Class I Obesity)

 Reason for Encounter (Chief Complaint): Nausea and fatigue

 Setting: Emergency Department with full laboratory and imaging capabilities


1. History of Present Illness (HPI Statement — 20%)


HPI Statement:


The patient is a 65-year-old male with a history of hypertension, type 2 diabetes mellitus,

and dyslipidemia who presents to the Emergency Department with a 1-to-2-week history of

worsening nausea, loss of appetite, and profound fatigue. He describes a constant,

generalized queasiness without frank emesis, associated with generalized weakness and

daily lethargy that impairs his activities of daily living. He reports accompanying polyuria and

polydipsia, along with mild dry mouth. He denies fever, chills, acute focal abdominal pain,

hematemesis, melena, hematochezia, chest pain, dyspnea, or focal neurological deficits.


2. Comprehensive History (10%)


Past Medical History (PMH)