YEAR OLD FEMALE WITH PROGRESSIVE DYSPNEA
SUSPECTED CONGESTIVE HEART FAILURE
OUTPATIENT EMERGENCY EVALUATION
,PATIENT INFORMATION (I-HUMAN CASE WEEK 7, NURS 6512)
Name: (Hidden for privacy)
Age: 60 years
Gender: Female
Height: ~5′4″ (163 cm) (estimated)
Weight: ~178 lbs (80.7 kg) (estimated)
BMI: ~30.5 kg/m² (obese range)
Clinical Setting: Outpatient / Emergency department with imaging & lab capabilities
Encounter Type: Assessment and management of dyspnea
Reason for Visit: “I’ve been short of breath, especially with exertion and at night.”
This patient presents with progressive shortness of breath over the past several weeks, now severe
enough to prompt urgent evaluation. Symptoms include exertional dyspnea, orthopnea,
paroxysmal nocturnal dyspnea (PND), and bilateral lower extremity swelling, suggesting possible
heart failure.
, CHIEF COMPLAINT
“I get so short of breath when I walk or climb stairs, and I have to sleep on two pillows at night
because I wake up feeling like I’m suffocating.”