i-Human Simulation Case #3 – Shortness of Breath in a Geriatric Patient 67 years old female patient : Application of Adult Primary Care Principles (NRNP 6550).

i-Human Simulation Case #3 – Shortness
of Breath in a Geriatric Patient 67 years
old female patient : Application of Adult
Primary Care Principles (NRNP 6550).




Patient Overview

Attribute Details
Case i-Human Case Week #3
Age 67 years old
Gender Female
Height / Weight 5'6" (168 cm) / 174 lbs (79.1 kg)
Reason for Encounter Shortness of breath

, Attribute Details
Setting Emergency room with full imaging and lab


History Questions (HPI, ROS, PMH, etc.)

Questions Asked Patient Response
Category
(Examples) (Hypothetical)
When did the SOB start? Any SOB started 2 days ago; no chest
HPI
chest pain or cough? pain; productive cough
ROS - Palpitations? Swelling in No palpitations; mild swelling in
Cardio legs? ankles
ROS -
Cough? Wheezing? Yes, coughing and mild wheezing
Resp
History of hypertension and mild
PMH Heart disease? Asthma?
COPD
Family history of heart or Father had CHF, mother had
FH
lung diseases? asthma
Smoking? Alcohol? Smoked for 30 years, quit 5 years
SH
Occupational exposure? ago


Physical Exam Findings

System Key Findings
General
Appears anxious, mild respiratory distress
Appearance
HR: 98, BP: 142/86, RR: 22, Temp: 98.6°F, O2 sat:
Vitals
91%
Lungs Decreased breath sounds at bases, crackles
Heart Regular rhythm, no murmurs
Extremities Mild bilateral pedal edema


Differential Diagnosis