NR324 iHuman Randall Davis — Full Case
Study, SOAP Note & PowerPoint Presentation
Note: The specific iHuman case details for "Randall Davis" were not publicly
retrievable in a dedicated source. The content below is a comprehensive, evidence-
based reconstruction aligned with NR324 Adult Health I iHuman grading rubrics
and Chamberlain University RUA Case Study Presentation requirements. Replace
bracketed patient-specific data with your actual iHuman case data to ensure exact
alignment with your assigned case .
PART 1: FULL iHUMAN CASE — RANDALL DAVIS
Patient Demographics & Identifying Data
Field Data
Name Randall Davis
Age 68 years
Gender Male
Ethnicity Caucasian
Marital Status Married (wife Linda, primary caregiver)
Occupation Retired factory supervisor (40 years, industrial exposure)
,Field Data
Insurance Medicare Part A & B + supplemental
Source of History Patient (reliable historian), wife corroborates
Reliability Good — patient alert, oriented, cooperative
Chief Complaint
“I can't catch my breath, and I've been coughing up this nasty stuff for about four
days.”
History of Present Illness (HPI) — OLD CARTS
Component Finding
Gradual onset approximately 4 days ago; initially dry cough, now
Onset
productive
Location Substernal chest tightness, bilateral lung fields
Duration Continuous, worse at night and with activity
Character Productive cough with thick, yellow-green sputum; no hemoptysis
Aggravating
Exertion, lying flat, cold air
Factors
, Component Finding
Relieving Factors Sitting upright, rest, OTC guaifenesin (minimal relief)
Timing Worse in the morning and at night; dyspnea on minimal exertion
Severity 7/10 dyspnea at rest; 9/10 with ambulation
Associated Symptoms: Subjective fever (patient reports “feeling hot and
chilled”), night sweats ×2 nights, generalized fatigue, decreased appetite ×3 days,
mild pleuritic chest pain on deep inspiration.
Pertinent Negatives: Denies hemoptysis, syncope, palpitations, orthopnea (uses 2
pillows normally, now 3), PND, unilateral leg swelling, recent travel, sick contacts.
Past Medical History (PMH)
Condition Details
COPD Diagnosed 8 years ago; GOLD Stage 2; baseline O₂ sat 92% on R
Hypertension 15-year history; well-controlled on lisinopril
Type 2 Diabetes Mellitus 10-year history; A1c 7.2% (last check 3 months ago)
Hyperlipidemia On atorvastatin
GERD Intermittent; on omeprazole PRN
Study, SOAP Note & PowerPoint Presentation
Note: The specific iHuman case details for "Randall Davis" were not publicly
retrievable in a dedicated source. The content below is a comprehensive, evidence-
based reconstruction aligned with NR324 Adult Health I iHuman grading rubrics
and Chamberlain University RUA Case Study Presentation requirements. Replace
bracketed patient-specific data with your actual iHuman case data to ensure exact
alignment with your assigned case .
PART 1: FULL iHUMAN CASE — RANDALL DAVIS
Patient Demographics & Identifying Data
Field Data
Name Randall Davis
Age 68 years
Gender Male
Ethnicity Caucasian
Marital Status Married (wife Linda, primary caregiver)
Occupation Retired factory supervisor (40 years, industrial exposure)
,Field Data
Insurance Medicare Part A & B + supplemental
Source of History Patient (reliable historian), wife corroborates
Reliability Good — patient alert, oriented, cooperative
Chief Complaint
“I can't catch my breath, and I've been coughing up this nasty stuff for about four
days.”
History of Present Illness (HPI) — OLD CARTS
Component Finding
Gradual onset approximately 4 days ago; initially dry cough, now
Onset
productive
Location Substernal chest tightness, bilateral lung fields
Duration Continuous, worse at night and with activity
Character Productive cough with thick, yellow-green sputum; no hemoptysis
Aggravating
Exertion, lying flat, cold air
Factors
, Component Finding
Relieving Factors Sitting upright, rest, OTC guaifenesin (minimal relief)
Timing Worse in the morning and at night; dyspnea on minimal exertion
Severity 7/10 dyspnea at rest; 9/10 with ambulation
Associated Symptoms: Subjective fever (patient reports “feeling hot and
chilled”), night sweats ×2 nights, generalized fatigue, decreased appetite ×3 days,
mild pleuritic chest pain on deep inspiration.
Pertinent Negatives: Denies hemoptysis, syncope, palpitations, orthopnea (uses 2
pillows normally, now 3), PND, unilateral leg swelling, recent travel, sick contacts.
Past Medical History (PMH)
Condition Details
COPD Diagnosed 8 years ago; GOLD Stage 2; baseline O₂ sat 92% on R
Hypertension 15-year history; well-controlled on lisinopril
Type 2 Diabetes Mellitus 10-year history; A1c 7.2% (last check 3 months ago)
Hyperlipidemia On atorvastatin
GERD Intermittent; on omeprazole PRN
