FRANKLIN PRESENTING WITH FATIGUE AND IRRITABILITY
AT OUTPATIENT CLINIC UTILIZING SYSTEMATIC CLINICAL
ASSESSMENT, DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-
BASED MANAGEMENT IN A SIMULATED EDUCATIONAL
SETTING
,PATIENT INFORMATION
Age: 48 years
Sex: Female
Height: 5′4″ (163 cm)
Weight: 144.0 lb (65.5 kg)
Location: Outpatient clinic with laboratory capabilities
Reason for Encounter: Fatigue and irritability
Explanation: Camilla Franklin is a 48-year-old female presenting to the outpatient clinic with
progressive fatigue and irritability over several months, associated with sleep disturbance, mood
changes, and decreased functional performance.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient clinic visit
Chief Complaint Fatigue and irritability
Duration Approximately 2–3 months
Frequency Persistent daily symptoms
Associated Symptoms Sleep disturbance, mood swings, hot flashes, decreased concentration
Aggravating Factors Stress, poor sleep quality
Relieving Factors Rest provides minimal relief
Systemic Symptoms No fever, no weight loss
Patient Goals Identify cause of symptoms and restore normal energy and mood
Explanation: The patient presents with progressively worsening fatigue and irritability
interfering with daily functioning, prompting evaluation for underlying endocrine, psychological,
or systemic causes.