174 lb / 79.1 kg) with Shortness of Breath –
Emergency Room Encounter with Full Imaging &
Laboratory Capability | Basic Ddx Case Play Setup &
Instructions”
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,Figure 1
### **History of Present Illness (HPI)**
* 67-year-old male with **progressive SOB x 2
weeks**
* **Onset:** gradual
* **Course:** worsening; exertional → now at rest
* **Associated symptoms:**
* Orthopnea (needs 2–3 pillows)
* PND (occasional)
* Fatigue
* Mild ankle swelling
* Dry cough
* **Aggravating:** exertion, lying flat
* **Relieving:** sitting upright, resting
, * **Denies:** chest pain, palpitations, fever, travel,
hemoptysis
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### **Past Medical History (PMH)**
* Hypertension (15 yrs, poorly controlled at times)
* Hyperlipidemia
* Type 2 diabetes (10 yrs, oral meds)
* Former smoker (20 pack-yrs, quit 10 yrs ago)
* No asthma/COPD
* No recent hospitalizations
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### **Medications**