#4:
: A 5 Year Old Patient with Cough and Trouble
Breathing ( Class 6541) | Complete Analysis with
All
Sections for Guaranteed High Score in iHuman
Case Study of a 5 Year Old Patient Diagnosed
witha3Cougha3anda3Troublea3Breathing
,
,
, Patienta3Overview
• Age:a35a3years
• Chiefa3Complaint:a3Persistenta3cougha3anda3difficultya3breathing
• Medicala3History:a3Diagnoseda3witha3asthmaa3ata3agea32;a3manageda3witha3a
s-neededa3albuterola3inhaler
• Familya3History:a3Fathera3hasa3asthmaa3anda3allergica3rhinitis
• Sociala3History:a3Livesa3ina3aa3smoke-freea3home;a3noa3pets;a3attendsa3preschoola3•
Immunizations:a3Upa3toa3date
Historya3ofa3Presenta3Illnessa3(HPI)
• Symptoma3Duration:a34a3days
• Cougha3Characteristics:a3Initiallya3dry,a3nowa3productivea3witha3yellow-
greena3sputum;a3worsea3ata3nighta3anda3aftera3physicala3activity
• Associateda3Symptoms:a3Nasala3congestion,a3occasionala3wheezing,a3milda3fevera3(1
00.4°F),a3fatigue
• Triggers:a3Physicala3activity,a3nighttime
• Relievinga3Factors:a3Sittinga3upright,a3usinga3aa3humidifier
• Previousa3Episodes:a3Similara3episodea36a3monthsa3ago,a3diagnoseda3asa3virala3bronchitis
Physicala3Examinationa3Findings
• Generala3Appearance:a3Milda3respiratorya3distress;a3anxiousa3buta3alert
• Respiratory:a3Intercostala3retractions,a3nasala3flaring,a3bilaterala3expiratorya3wh
eezing,a3decreaseda3breatha3soundsa3ina3lowera3lobes
• Vitala3Signs:
o Temperature:a3100.4°Fa3o
Hearta3Rate:a3112a3bpma3oa3Respir
atorya3Rate:a336