FATIQUE AND IRRITABILITY CASE REVIEW WEEK 10
(SCREENSHOTS ARE AVAILABLE) 2024 UPDATE
Name: Camilla Franklin
Age: 48 years
Gender: Female
Chief6zComplaint:
1. What6zbrings6zyou6zin6ztoday?
2. How6zlong6zhave6zyou6zbeen6zexperiencing6zthese6zsymptoms?
History6zof6zPresent6zIllness6z(HPI):
1. When6zdid6zyour6zsymptoms6zstart?
2. Can6zyou6zdescribe6z your6zsymptoms?
3. Have6zyou6zhad6zany6zfever6zor6zchills?
4. Are6zyou6zexperiencing6zany6zshortness6zof6zbreath?
5. Do6zyou6zfeel6zfatigued?
,6. Are6zyou6zhaving6zany6zchest6zpain?6zIf6zyes,6zis6zit6zsharp,6zand6zdoes6zit6zget6zworse6zwith6z
deep6zbreaths?
7. Have6z you6 z noticed6 z a6z cough?6z Is6z it6 z productive?6 z What6z color6z is6z the6 z sputum?
8. Have6zyou6zhad6zany6zwheezing?
Past6 z Medical6 z History6 z (PMH):
1. Do6 z you6 z have6 z any6 z chronic6 z medical6 z conditions,6 z such6 z as6 z asthma?
2. Have6 z you6 z had6z any6z recent6z illnesses6z or6z infections,6 z like6z the6 z flu?
3. Have6 z you6 z had6 z any6 z hospitalizations6 z or6 z surgeries6 z in6 z the6 z past?
4. Are6zyou6zcurrently6zon6zany6zmedications?
5. Do6zyou6zhave6zany6zknown6zallergies?
Family6 z History:
1. Is6 z there6 z any6 z family6 z history6 z of6 z respiratory6 z conditions,6 z such6 z as6 z asthma?
2. Are6 z there6 z any6 z other6 z significant6 z health6 z issues6 z in6 z your6 z family?
Social6zHistory:
1. Do6zyou6zsmoke6zor6zhave6zyou6zever6zsmoked?
2. Do6zyou6zdrink6zalcohol?6zIf6zso,6zhow6zoften?
3. Do6zyou6zuse6zany6zrecreational6zdrugs?
4. What6zis6zyour6zliving6zsituation?6zDo6zyou6zlive6zin6za6zdormitory?
5. Have6zyou6z been6zin6zcontact6zwith6z anyone6z who6zis6zsick6z recently?
Review6zof6zSystems6z (ROS):
1. Have6z you6zhad6zany6zweight6zloss6z or6zchanges6zin6z appetite?
2. Are6 z you6 z experiencing6 z any6 z nausea6 z or6 z vomiting?
3. Have6zyou6znoticed6zany6zother6zjoint6zpain6zor6zswelling?
4. Are6zyou6zhaving6zany6zheadaches6zor6zdizziness?6z5.6zHave6zyou6znoticed6zany6zpalpitat
ions6zor6zheart-related6zsymptoms?
, Reason6zfor6zEncounter:
Camilla6 z Franklin,6z an6 z 48-year6z old,6z presents6 z with6 z a6 z four-day6z history6 z of
sudden-
onset6 z Fatigue6zand6zIrritability,6zshortness6zof6zbreath,6zfatigue,6zpleuritic6zchest6 z
pain,6zand6za6zproductive6zcough6zwithout6zwheezing.
History6z of6 z Present6 z Illness:
Onset:6zSymptoms6zbegan6zfour6zdays6zago,6zfollowing6zthe6zresolution6zof6za6zrecent6zflu6zepisod
e.6zDuration:6zSymptoms6zhave6zpersisted6zand6zworsened6zover6zthe6zpast6zfour6zdays.
Location:6zSymptoms6zare6zprimarily6zcentered6zin6zthe6zchest6zand6zrespiratory6zsyst
em.6 z Characteristics: