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Comprehensive i-Human Case Study - Week # | 72-Year-Old Patient (5'5", 167 lb) | Reason for Encounter: Dyspnea at Outpatient Clinic with X-Ray, ECG, and Laboratory Capabilities

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Explore the comprehensive i-Human Case Study featuring a 72-year-old patient (5'5", 167 lb) presenting with dyspnea. Conducted in an outpatient clinic equipped with modern X-ray, ECG, and laboratory capabilities, this case study provides critical insights into the assessment and management of respiratory distress. Ideal for healthcare students and professionals seeking to enhance their understanding of patient evaluation and treatment planning.

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COMPREHENSIVE I-HUMAN CASE WEEK #4 (72 Y/O ,5’5” (165CM) ,
167.0 LB(75.9KG) ) REASON FOR ENCOUNTER DYSPNEA |
LOCATION OUTPATIENT CLINIC WITH X-RAY ,ECG AND
LABORATORY CAPABILITIES




ComprehensiveiCaseiStudy
72-Year-OldiMale,i165icm,i75.9ikg
ReasoniforiEncounter:iDyspneai(ShortnessiofiBreath)
Location:iOutpatientiCliniciwithiX-ray,iECG,iandiLaboratoryiSupport
i- HumaniCaseiAnalysisi|iEXPERTiREVIEW




1. HistoryiofiPresentiIllnessi(HPI)
 Onset:iDyspneaistartedi3imonthsiago,igraduallyiprogressive.iRecentlyiw
orsenedioveritheilasti1iweek.
 Duration:iInitiallyionlyiexertional,inowioccursiatirest.
 Character:iReportsiorthopneai(requiresi2ipillows),inoiparoxysmalin
octurnalidyspnea.
 Progression:iLimitingiabilityitoiclimbistairsioriwalki>100imeters.
 AssociatediSymptoms:
o Mildinon-productiveicough.
o Occasionalipalpitations.
o Bilateraliankleiswellinginotediinievenings.
o Deniesichestipain,ifever,ihemoptysis,ioriweightiloss.
 Aggravating/
AlleviatingiFactors:iWorseiwithiexertion,ibetteriwithirestiandisittingiuprig
ht.
 PrecipitatingiEvents:iNoirecentirespiratoryiinfections,itravel,iorii
mmobilization.

,2. PastiMedicaliHistoryi(PMH)
 Hypertensioni×i20iyears.
 Typei2iDiabetesiMellitus.
 Dyslipidemia.
 Noiknownichronicilungidiseasei(e.g.,iCOPDioriasthma).
 Noirecentihospitalizations.




3. Familyi&iSocialiHistory
 Father:idiediofistrokeiati75.
 Mother:ihistoryiofihypertensioniandiheartifailure.
 Ex-smokeri(40ipack-years,iquiti5iyearsiago).
 Noialcohol,inoidrugiuse.
 Livesiwithispouse,ipreviouslyiaishopiowner.

, 4. PhysicaliExamination
 General:iElderlyimale,imildirespiratoryidistress,iseatediupright.
 Vitals:iBPi148/92immHg,iHRi92ibpmi(irregularlyiirregular),iRRi22,iTe
mpi36.9°C,iSpO₂i91%ioniroomiair.
 CardiaciExam:iIrregularlyiirregularirhythmi(suggestiveiofiatrialifibrill
ation),idisplacediapexibeat,iS₃igallopipresent.
 RespiratoryiExam:iBilateralibasalicrackles,inoiwheezes,idullnessiatiri
ghtilungibase.
 Neck:iJugularivenousidistension.
 Extremities:i1+ipedaliedema.
 Other:iNoicyanosis,inoiclubbing.

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