PY
O
C
T
O
N
O
D
,Comprehensive i-Human Case Analysis
Week 9 – NURS 2026
Bertie Bridges – 58-Year-Old Male with Shortness of Breath, Fatigue, and Lower
Extremity Edema
Setting: Outpatient Cardiology Clinic Utilizing Systematic History-Driven Assessment,
Differential Diagnosis, and Evidence-Based Management
Case Identification
D
Patient Name: Bertie Bridges
O
Age: 58 years
Sex: Male
Height: 5′10″
N
Setting: Outpatient Cardiology Clinic
O
Reason for Visit: Shortness of breath and leg swelling
T
Chief Complaint (CC):
C
“I get short of breath just walking to the mailbox, and my legs are swollen.”
O
PY
, History of Present Illness (HPI)
Bertie Bridges is a 58-year-old male presenting with progressive shortness of breath over the past 3
weeks. He reports fatigue, decreased exercise tolerance, and bilateral lower extremity swelling that
worsens by evening. He also reports difficulty lying flat at night and uses two pillows to sleep.
He denies chest pain but notes occasional palpitations. No fever or cough. No recent travel.
Past history significant for hypertension and coronary artery disease. He reports medication
noncompliance due to cost concerns.
D
O
N
O
T
C
O
PY
O
C
T
O
N
O
D
,Comprehensive i-Human Case Analysis
Week 9 – NURS 2026
Bertie Bridges – 58-Year-Old Male with Shortness of Breath, Fatigue, and Lower
Extremity Edema
Setting: Outpatient Cardiology Clinic Utilizing Systematic History-Driven Assessment,
Differential Diagnosis, and Evidence-Based Management
Case Identification
D
Patient Name: Bertie Bridges
O
Age: 58 years
Sex: Male
Height: 5′10″
N
Setting: Outpatient Cardiology Clinic
O
Reason for Visit: Shortness of breath and leg swelling
T
Chief Complaint (CC):
C
“I get short of breath just walking to the mailbox, and my legs are swollen.”
O
PY
, History of Present Illness (HPI)
Bertie Bridges is a 58-year-old male presenting with progressive shortness of breath over the past 3
weeks. He reports fatigue, decreased exercise tolerance, and bilateral lower extremity swelling that
worsens by evening. He also reports difficulty lying flat at night and uses two pillows to sleep.
He denies chest pain but notes occasional palpitations. No fever or cough. No recent travel.
Past history significant for hypertension and coronary artery disease. He reports medication
noncompliance due to cost concerns.
D
O
N
O
T
C
O
PY
