Week 4 Case Study
Pt is a 48 year old female working as an accountant.
Chief Complaint: “I suddenly felt short of breath and my
chest hurts when I breathe.”
Onset: 2 hours before arrival
Past Medical History:
• Hypertension
• Obesity (BMI 34)
• Varicose veins
Medications:
• Hydrochlorothiazide
• Oral contraceptive pills (combined estrogen-progestin)
Social History:
• Sedentary work
• Recent 8-hour flight returning from Europe
• No tobacco use, drinks socially
History of Present Illness
Pt reports the sudden onset of shortness of breath while
walking from her car into her home. She describes sharp
right-sided chest pain that worsens with deep breathing.
She also reports mild cough, but no fever, wheezing, or
recent respiratory infection.
Additional symptoms:
• Lightheadedness
• Anxiety
• Mild swelling in the right calf for the past 3 days
She denies trauma or recent illness.
Vitals:
• Temp: 98.6°F
• HR: 118 bpm
• RR: 26 breaths/min
, • BP: 102/68 mmHg
• SpO₂: 88% on room air
Questions –
1. Discuss the primary pathophysiological processes and
the significance for symptom development and diagnosis.
2. Describe the role genetic mutations play in the
development of the disease and the risk factors that make
the patient more susceptible to the disease.
3. Explain any racial/ethnic variables that may impact
physiological functioning. Explain factors in the patient's
history and lifestyle that could have contributed to the
development of the disease process.
Pt is a 48 year old female working as an accountant.
Chief Complaint: “I suddenly felt short of breath and my
chest hurts when I breathe.”
Onset: 2 hours before arrival
Past Medical History:
• Hypertension
• Obesity (BMI 34)
• Varicose veins
Medications:
• Hydrochlorothiazide
• Oral contraceptive pills (combined estrogen-progestin)
Social History:
• Sedentary work
• Recent 8-hour flight returning from Europe
• No tobacco use, drinks socially
History of Present Illness
Pt reports the sudden onset of shortness of breath while
walking from her car into her home. She describes sharp
right-sided chest pain that worsens with deep breathing.
She also reports mild cough, but no fever, wheezing, or
recent respiratory infection.
Additional symptoms:
• Lightheadedness
• Anxiety
• Mild swelling in the right calf for the past 3 days
She denies trauma or recent illness.
Vitals:
• Temp: 98.6°F
• HR: 118 bpm
• RR: 26 breaths/min
, • BP: 102/68 mmHg
• SpO₂: 88% on room air
Questions –
1. Discuss the primary pathophysiological processes and
the significance for symptom development and diagnosis.
2. Describe the role genetic mutations play in the
development of the disease and the risk factors that make
the patient more susceptible to the disease.
3. Explain any racial/ethnic variables that may impact
physiological functioning. Explain factors in the patient's
history and lifestyle that could have contributed to the
development of the disease process.
