1|Page
Actual Comprehensive iHuman Case Study Week
#4:
: A 5 Year Old Patient with Cough and Trouble
Breathing ( Class 6541) | Complete Analysis with
All
Sections for Guaranteed High Score in iHuman
Case Study of a 5 Year Old Patient Diagnosed
with Cough and Trouble Breathing
,
,3|Page
, Patient Overview
• Age: 5 years
• Chief Complaint: Persistent cough and difficulty breathing
• Medical History: Diagnosed with asthma at age 2; managed with as-needed
albuterol inhaler
• Family History: Father has asthma and allergic rhinitis
• Social History: Lives in a smoke-free home; no pets; attends preschool •
Immunizations: Up to date
History of Present Illness (HPI)
• Symptom Duration: 4 days
• Cough Characteristics: Initially dry, now productive with yellow-green sputum;
worse at night and after physical activity
• Associated Symptoms: Nasal congestion, occasional wheezing, mild fever (100.4°F),
fatigue
• Triggers: Physical activity, nighttime
• Relieving Factors: Sitting upright, using a humidifier
• Previous Episodes: Similar episode 6 months ago, diagnosed as viral bronchitis
Physical Examination Findings
• General Appearance: Mild respiratory distress; anxious but alert
• Respiratory: Intercostal retractions, nasal flaring, bilateral expiratory wheezing,
decreased breath sounds in lower lobes
• Vital Signs:
o Temperature: 100.4°F o Heart
Rate: 112 bpm o Respiratory Rate: 36
breaths per minute o Oxygen
Actual Comprehensive iHuman Case Study Week
#4:
: A 5 Year Old Patient with Cough and Trouble
Breathing ( Class 6541) | Complete Analysis with
All
Sections for Guaranteed High Score in iHuman
Case Study of a 5 Year Old Patient Diagnosed
with Cough and Trouble Breathing
,
,3|Page
, Patient Overview
• Age: 5 years
• Chief Complaint: Persistent cough and difficulty breathing
• Medical History: Diagnosed with asthma at age 2; managed with as-needed
albuterol inhaler
• Family History: Father has asthma and allergic rhinitis
• Social History: Lives in a smoke-free home; no pets; attends preschool •
Immunizations: Up to date
History of Present Illness (HPI)
• Symptom Duration: 4 days
• Cough Characteristics: Initially dry, now productive with yellow-green sputum;
worse at night and after physical activity
• Associated Symptoms: Nasal congestion, occasional wheezing, mild fever (100.4°F),
fatigue
• Triggers: Physical activity, nighttime
• Relieving Factors: Sitting upright, using a humidifier
• Previous Episodes: Similar episode 6 months ago, diagnosed as viral bronchitis
Physical Examination Findings
• General Appearance: Mild respiratory distress; anxious but alert
• Respiratory: Intercostal retractions, nasal flaring, bilateral expiratory wheezing,
decreased breath sounds in lower lobes
• Vital Signs:
o Temperature: 100.4°F o Heart
Rate: 112 bpm o Respiratory Rate: 36
breaths per minute o Oxygen
