I- HUMAN CASE STUDY – WEEK 4 FOR A 72-
YEAR-OLD PATIENT PRESENTING WITH
DYSPNEA (OUTPATIENT CLINIC WITH LAB
CAPABILITIES) LATEST UPDATE
Reason for Encounter:
Evaluation of dyspnea (shortness of breath).
Patient Demographics:
• Age: 72 years
• Sex: Male
• Height: 5’8” (173 cm)
• Weight: 195 lbs (88.5 kg)
• BMI: 29.6 kg/m²
Case Mode: Learning mode
,Case Location: Outpatient primary care clinic with laboratory and imaging access
, 2. Chief Complaint (CC)
“I’ve been feeling short of breath, especially when I walk.”
3. History of Present Illness (HPI)
The patient is a 72-year-old male who presents with a 2-week history of
progressively worsening dyspnea. Initially, he noticed shortness of breath with
moderate exertion such as climbing stairs. Over the past several days, the dyspnea
has worsened and now occurs with minimal activity, including walking short
distances on level ground.
Dyspnea characteristics:
• Onset: Gradual
• Duration: 2 weeks
• Progression: Worsening
• Severity: Moderate to severe
• Pattern: Exertional; relieved by rest
• Position: Worse when lying flat (orthopnea)
Associated symptoms:
• Fatigue
• Mild bilateral lower-extremity swelling
• Occasional dry cough
YEAR-OLD PATIENT PRESENTING WITH
DYSPNEA (OUTPATIENT CLINIC WITH LAB
CAPABILITIES) LATEST UPDATE
Reason for Encounter:
Evaluation of dyspnea (shortness of breath).
Patient Demographics:
• Age: 72 years
• Sex: Male
• Height: 5’8” (173 cm)
• Weight: 195 lbs (88.5 kg)
• BMI: 29.6 kg/m²
Case Mode: Learning mode
,Case Location: Outpatient primary care clinic with laboratory and imaging access
, 2. Chief Complaint (CC)
“I’ve been feeling short of breath, especially when I walk.”
3. History of Present Illness (HPI)
The patient is a 72-year-old male who presents with a 2-week history of
progressively worsening dyspnea. Initially, he noticed shortness of breath with
moderate exertion such as climbing stairs. Over the past several days, the dyspnea
has worsened and now occurs with minimal activity, including walking short
distances on level ground.
Dyspnea characteristics:
• Onset: Gradual
• Duration: 2 weeks
• Progression: Worsening
• Severity: Moderate to severe
• Pattern: Exertional; relieved by rest
• Position: Worse when lying flat (orthopnea)
Associated symptoms:
• Fatigue
• Mild bilateral lower-extremity swelling
• Occasional dry cough
