OLD FEMALE WITH WEAKNESS FATIGUE AND
DECREASED FUNCTION IN OUTPATIENT CLINIC
WITH LABORATORY CAPABILITIES
,PATIENT INFORMATION (I-HUMAN CASE WEEK 2, NR-601)
Name: [Patient Hidden for Privacy]
Age: 72 years
Gender: Female
Height: 5′2″ (157 cm) (estimated)
Weight: 158 lbs (71.6 kg) (estimated)
BMI: 29 kg/m² (overweight range)
Encounter Type: Outpatient visit
Reason for Encounter: Weakness, fatigue, decreased function
Setting: Outpatient clinic with imaging and laboratory capabilities
The patient is a 72-year-old female presenting with complaints of generalized
weakness, persistent fatigue, and progressive decrease in functional ability
over the past several months. She reports difficulty completing routine
activities, such as walking up stairs, grocery shopping, and maintaining
household tasks. The purpose of this evaluation is to determine the underlying
cause(s) of her symptoms, identify chronic conditions, and develop an
evidence-based management plan.
, CHIEF COMPLAINT
“I’ve been feeling weak and tired most of the time and just don’t have the
energy to do things I used to manage.”