Comprehensive Case Study 54-Year-Old Male –

NR603_
WEEK3IHUMAN(JOSE
PHCAMELLA66YEARS,
DYSPNEA) 2025
UPDATE
GoodQuestions:
1. Howcanihelpyoutoday
● Imhavingtroublebreathing.Mywifemademecomein.Sh
e’sworried about me.
2. Doyouhaveanyothersymptomsorconcernsweshoulddiscuss
● Anallergiccoughandrunnynose.Igetthecougheveryyeard
uringthis season.
3. Doyouwheeze?
● Normallyjustwhenmyallergiesactup.Latelyivesort
ofnoticed wheezing at night. Thats fairly new I
guess.
4. Areyoushortofbreathwhenlyingdown?
● ImalwaysSOB
5. Doyousleepwithpillowstohelpyoubreathe?
● Just1pillows
6. Doesanythingmakeyourcoughbetterorworse?
● Mycoughingisworsewhenthetreesshedpollen
7. Areyoutakinganyprescriptionmedications?

, ● Yes indeed. I brought my list with me here. Lisonopril
10mg daily, HCTZ
25mgdaily,glipizide5mgdaily.AlsouseaCPAPmachine,th
oughit’snot really a medicine.
8. AreyoutakinganyOTCorherbalmedications?
● AleveforshoulderpainandAllergrafortheallergies
9. Doyouhaveanyallergies?
● Sulfadrugs,Iamprettysureimallergictotreeandgrassp
ollenand ragweed
10. Doyounoworhaveyoueversmokedorchewedtobacco
● Iwasabigtimesmokerinthepast.StartedwhenIwas16.Apa
ckaday, but i stopped 10 years ago. That was hard to do.
11. Doyouhaveaproblemwithfatigue/tiredness
● I suredo.Igettiredwheniexert.Ithink imreallyout of
shape,butialso dont sleepgreat
duetosleepapnea,andthismakesmetiredduringthe day
too
12. Haveyoubeenhavingfevers?
● no
13. Isthereanyswellinginyourankles?
● Sometimes.Notbadthough
14. Doyouhaveaproblemwithgeneralizedweakness?
● Weakness?No,Idontthinki’dcallitthatreally
15. Doyouhaveacough?
● Notnormally,butihavebeencoughingforthelastcoupleofmont
hs

, 16. Areyoucoughingupanysputum?
● Occasionally,likenow.Igetacold,thenbronchitiswithcoug
hingupstuff, then it goes away. Sometimes clear.
Sometimes not. Its been worse the past2months-
coughingupthisgooeywhitestuffinthemorning.Maybe
like a few teaspoons worth. Disgusting.
17. Whendidyourdifficultybreathingstart?
● About10yearsago.Past5yearsitsaffectedmemoreandmore
18. Doesanythingmakeyourdifficultybreathingbetterorworse?
● Sittingstillisthebestformybreathing.Alsoithelpsifipur
semylips when i breathe out
19. Doyoubecomeshortofbreathwithexertion?
● Yesdefinitely.Icanwalkslowlytothepostboxorfromroom
toroomok, but im out of breath going upstairs to the
bedroom or just lifting stuff
20. Areyoushortofbreathatrest?
● Yesjustthesepastcouplemonths
21. Doyouhaveanypainorothersymptomsassociatedwit
hyourdifficulty breathing?
● Symptoms?Likecoughwithrunnynose.Whatelsedoyoumean?
22. Hastherebeenanychangeinyourdifficultybreathingovertime?
● Bigtime!Iusedtobeabletoowalk,work,andrunwiththebest
ofthem. But not now
23. Doyouhaveunusualheartbeats/palpitations?
● No.
24. Doyouhaveanypaininyourchest?
● No.
25. Canyoutellmeaboutanycurrentorpastmedicalproblems?
● High blood pressure, sleep apnea, and type 2 DM. Ive
had the blood
pressurethingformaybe25yearsnow.TheDMwasmaybe5
yearsago. But all these are under control. I guess thats
all i can think of thats important.
26. Anyrecentacuteorchronicinfections?
● No.
27. Anypreviousmedical,surgical,ordentalprocedures?
● I had my gall bladder removed 20 years ago. I had an
accident 30 years