, Patient Information
Name: Bertie Bridges
Age: 86 years
Gender: Female
Setting: Primary Care Outpatient Clinic with Laboratory and
Imaging Capabilities
Chief Complaint: Fatigue
Date of Visit: July 17, 2025
History of Present Illness (HPI):
Bertie Bridges, an 86-year-old Caucasian female, presents to the
primary care clinic reporting a 3-month history of progressive fatigue
that has significantly impacted her daily life. She describes the fatigue
as a persistent sense of being “worn out,” with a marked reduction in
energy for activities she previously enjoyed, such as gardening and
walking 0.5 miles to her community center. The fatigue is generalized,
worse in the late afternoon, and not alleviated by rest or her usual 6-7
hours of nightly sleep, which she reports as unrefreshing. She rates the
fatigue severity as 7/10, noting it has led to decreased participation in