FATIQUE AND IRRITABILITY CASE REVIEW WEEK 10
(SCREENSHOTS ARE AVAILABLE) 2024 UPDATE
Name: Camilla Franklin
Age: 48 years
Gender: Female
Chief7gComplaint:
1. What7gbrings7gyou7gin7gtoday?
2. How7glong7ghave7gyou7gbeen7gexperiencing7gthese7gsymptoms?
History7gof7gPresent7gIllness7g(HPI):
1. When7gdid7gyour7gsymptoms7gstart?
2. Can7gyou7gdescribe7g your7gsymptoms?
3. Have7gyou7ghad7gany7gfever7gor7gchills?
4. Are7gyou7gexperiencing7gany7gshortness7gof7gbreath?
5. Do7gyou7gfeel7gfatigued?
,6. Are7gyou7ghaving7gany7gchest7gpain?7gIf7gyes,7gis7git7gsharp,7gand7gdoes7git7gget7gworse7gwit
h7gdeep7gbreaths?
7. Have7g you7 g noticed7 g a7g cough?7g Is7g it7g productive?7 g What7g color7g is7g the7 g sputum?
8. Have7gyou7ghad7gany7gwheezing?
Past7 g Medical7 g History7 g (PMH):
1. Do7 g you7 g have7 g any7 g chronic7 g medical7 g conditions,7 g such7 g as7 g asthma?
2. Have7 g you7 g had7 g any7g recent7g illnesses7 g or7 g infections,7 g like7g the7 g flu?
3. Have7 g you7 g had7 g any7 g hospitalizations7 g or7 g surgeries7 g in7 g the7 g past?
4. Are7gyou7gcurrently7gon7gany7gmedications?
5. Do7gyou7ghave7gany7gknown7gallergies?
Family7 g History:
1. Is7 g there7 g any7 g family7 g history7 g of7 g respiratory7 g conditions,7 g such7 g as7 g asthma?
2. Are7 g there7 g any7 g other7 g significant7 g health7 g issues7 g in7 g your7 g family?
Social7gHistory:
1. Do7gyou7gsmoke7gor7ghave7gyou7gever7gsmoked?
2. Do7gyou7gdrink7galcohol?7gIf7gso,7ghow7goften?
3. Do7gyou7guse7gany7grecreational7gdrugs?
4. What7gis7gyour7gliving7gsituation?7gDo7gyou7glive7gin7ga7gdormitory?
5. Have7gyou7g been7gin7gcontact7gwith7g anyone7g who7gis7gsick7g recently?
Review7g of7g Systems7g (ROS):
1. Have7g you7ghad7gany7gweight7gloss7g or7gchanges7g in7g appetite?
2. Are7 g you7 g experiencing7 g any7 g nausea7 g or7 g vomiting?
3. Have7gyou7gnoticed7gany7gother7gjoint7gpain7gor7gswelling?
4. Are7gyou7ghaving7gany7gheadaches7gor7gdizziness?7g5.7gHave7gyou7gnoticed7gany7gpalpita
tions7gor7gheart-related7gsymptoms?
, Reason7gfor7gEncounter:
Camilla7 g Franklin,7g an7 g 48-year7 g old,7g presents7 g with7 g a7 g four-day7g history7 g of
sudden-
onset7 g Fatigue7gand7gIrritability,7gshortness7gof7gbreath,7gfatigue,7gpleuritic7gchest7
g pain,7gand7ga7gproductive7gcough7gwithout7gwheezing.
History7g of7 g Present7 g Illness:
Onset:7gSymptoms7gbegan7gfour7gdays7gago,7gfollowing7gthe7gresolution7gof7ga7grecent7gflu7gepis
ode.7gDuration:7gSymptoms7ghave7gpersisted7gand7gworsened7gover7gthe7gpast7gfour7gdays.
Location:7gSymptoms7gare7gprimarily7gcentered7gin7gthe7gchest7gand7grespiratory7gsys
tem.7 g Characteristics: