Comprehensive Case Study: Buddy Theodore – 52-Year
Old Male with Cough and Shortness of Breath | i Human
Case Review (2024–2026 Verified Solutions)
,Comprehensive Case Study: Buddy Theodore – 52-Year-Old Male with Cough and Shortness of Breath
Patient Introduction
• Name: Buddy Theodore
• Age: 52 years
, • Sex: Male
• Chief Complaint (CC): “I’ve been coughing and feeling short of breath.”
• Setting: Outpatient clinic visit
History of Present Illness (HPI)
Buddy Theodore is a 52-year-old male presenting with a 2-week history of productive cough associated
with shortness of breath on exertion. The cough is described as persistent, mostly worse in the
mornings, and occasionally associated with yellowish sputum. He denies hemoptysis. Dyspnea is noted
particularly when climbing stairs or walking briskly.
He reports low-grade fever (up to 100.4°F) at night, mild chest tightness, and occasional wheezing. No
history of paroxysmal nocturnal dyspnea or orthopnea. He denies weight loss, night sweats, or
hemoptysis.
No recent travel, sick contacts, or occupational dust exposure.
Past Medical History (PMH)
• Hypertension (diagnosed 5 years ago; controlled with medication)
• Dyslipidemia (on statin therapy)
• No known history of asthma or COPD
• No history of TB
Surgical History
• Appendectomy at age 19
• No thoracic or lung surgeries
Medications
• Lisinopril 20 mg PO daily
• Atorvastatin 20 mg PO nightly
• Occasional OTC cough syrup
Allergies