comprehensive_i_human_case_week

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

,Comprehensive Case Study A A




72-Year-Old Male, 165 cm, 75.9 kg
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Reason for Encounter: Dyspnea (Shortness of Breath)
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Location: Outpatient Clinic with X-ray, ECG, and Laboratory Support
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i- Human Case Analysis | EXPERT REVIEW
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1. History of Present Illness (HPI)
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• Onset: Dyspnea started 3 months ago, gradually progressive. Recently
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worsened over the last 1 week.
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• Duration: Initially only exertional, now occurs at rest.
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• Character: Reports orthopnea (requires 2 pillows), no paroxysmal
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nocturnal dyspnea.
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• Progression: Limiting ability to climb stairs or walk >100 meters.
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• Associated Symptoms: A




o Mild non-productive cough.
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o Occasional palpitations. A




o Bilateral ankle swelling noted in evenings.
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o Denies chest pain, fever, hemoptysis, or weight loss.
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• Aggravating/Alleviating Factors: Worse with exertion, better with rest A A A A A A A


and sitting upright.
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• Precipitating Events: No recent respiratory infections, travel, or
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immobilization.
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, 2. Past Medical History (PMH)
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• Hypertension × 20 years.A A A




• Type 2 Diabetes Mellitus.
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• Dyslipidemia.
• No known chronic lung disease (e.g., COPD or asthma).
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• No recent hospitalizations.
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