,
, Patient Information
Name: Bertie Bridges
Age: 86 years
Gender: Female
Setting: Primary Care Outpatient Clinic
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.
She describes feeling “worn out” and lacking energy for daily activities,
such as gardening and walking to the community center, which she
previously enjoyed. The fatigue is generalized, worse in the late
afternoon, and not relieved by rest or sleep. She rates its severity as
7/10, impacting her quality of life. Associated symptoms include mild
unintentional weight loss (~3 kg over 3 months), occasional dizziness
upon standing, and reduced appetite. She denies fever, night sweats,
chest pain, shortness of breath, or recent infections. Bertie reports
sleeping 6-7 hours nightly but feels unrefreshed. She denies recent falls,
, Patient Information
Name: Bertie Bridges
Age: 86 years
Gender: Female
Setting: Primary Care Outpatient Clinic
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.
She describes feeling “worn out” and lacking energy for daily activities,
such as gardening and walking to the community center, which she
previously enjoyed. The fatigue is generalized, worse in the late
afternoon, and not relieved by rest or sleep. She rates its severity as
7/10, impacting her quality of life. Associated symptoms include mild
unintentional weight loss (~3 kg over 3 months), occasional dizziness
upon standing, and reduced appetite. She denies fever, night sweats,
chest pain, shortness of breath, or recent infections. Bertie reports
sleeping 6-7 hours nightly but feels unrefreshed. She denies recent falls,
