IHUMAN CASE WEEK #7 | 28Y/O 170CM &68.2KG | REASON FOR ENCOUNTER COUGH AND FATIGUE | LATEST EXAM UPDATE

IHUMAN CASE WEEK #7 | 28Y/O 170CM &68.2KG | REASON FOR ENCOUNTER COUGH AND
FATIGUE | LATEST EXAM UPDATE




i- Human9zCase9zWeek9z#7:9z28-Year-Old9zMale9z–

9z “Cough9zand9zFatigue”9zSetting:9zOutpatient9zClinic9z(with9zX-

ray,9zECG,9zand9zlaboratory9zcapabilities)
Student9zNurse9zCase9zReport

, SOAP9zNote

S9z–9zSubjective

Chief9zComplaint9z(CC):

“I’ve9zbeen9zcoughing9zand9zfeeling9ztired9zfor9zabout9ztwo9zweeks.”

History9zof9zPresent9zIllness9z(HPI):
Mr.9zDaniel9zParker9z(pseudonym),9za9z28-year-
old9zmale,9zpresents9zwith9za9zpersistent9zproductive9zcough9zfor9ztwo9zweeks9zassociated9zwith9zfatigue
9zand9zoccasional9zshortness9zof9zbreath9zon9zexertion.9zHe9zdescribes9zthe9zsputum9zas9zyellowish,9zmod

erate9zin9zamount,9zand9zdenies9zany9zblood.9zHe9zhad9zmild9zfever9zand9zchills9zduring9zthe9zfirst9zfew9zda
ys9zbut9zno9zchest9zpain,9znight9zsweats,9zor9zweight9zloss.9zNo9zhistory9zof9zasthma9zor9zallergies.
He9zwas9zrecently9zrecovering9zfrom9za9zcold.
Past9zMedical9zHistory9z(PMH):

• No9zchronic9zillnesses9zreported

• Up-to-date9zon9zimmunizations

Medications:

• Occasional9zparacetamol9zfor9zfever

• Over-the-counter9zcough9zsyrup9z(self-started)

Allergies:9zNone9zknown

Family9zHistory9z(FH):

• Non-contributory;9zno9zasthma9zor9zTB

Social9zHistory9z(SH):

• Non-smoker,9zsocial9zalcohol9zuse9zonly

• Works9zas9za9zgym9ztrainer;9zno9zrecent9ztravel

• Lives9zwith9zroommates

Review9zof9zSystems9z(ROS):

• Respiratory:9zCough9zwith9zsputum,9zfatigue,9zmild9zdyspnea9zon9zexertion

• Constitutional:9zFelt9zfeverish9zinitially,9znow9zresolved

• Cardiac:9zNo9zchest9zpain9zor9zpalpitations

• GI:9zNormal9zappetite

• Neuro:9zTiredness9zbut9zno9zweakness