NR603 week5 I-Human Case Study 2026 Update

Frank Russo-Chamberlain -39 years old male Reason for encounter: shortness of breath Visual: mildly uncomfortable appearing, occasional shivers. Using accessory muscles. Auditory: conversational dyspnea Skin: warm, dry 1. How can I help? - SOB last couple of weeks 2. Any other concerns? =feel puny and winded—have an annoying cough 3. Most distressing symptoms- breathlessness, getting more winded doing the smallest things, climbing a single flight of stairs feels like climbing a mountain. Out of breath from the bedroom to the kitchen 4. How it makes you feel—concerned. Pretty fit otherwise, not seen a healthcare provider in 5 years—worried that it is more than a cold 5. SOB started 2 weeks ago and is getting worse 6. SOB gets worse when the least bit active. Tried an albuterol inhaler but not helping. Not bad when resting and not active. 7. Initially productive cough with clear or white sputum but now it is nonproductive cough 8. Fever of 101.8 two days ago 9. No chest pain, no wheezing, no sick contact, no recent travelling 10. Has night sweats 11. No dizziness 12. Unintentional weight loss of 5 lbs 13. Smokes- half a pack a day x 20 years—no electronic cigars 14. Drinks couple wine a week (two glasses) 15. No recreational drug use 16. Ride bike or walk places if the weather is good. Spends decent amount of time chatting with people online 17. PMH- HIV (8 years ago)- non-compliant with HAART medication 18. No surgeries 19. No hospitalization 20. No known allergies 21. No current medication. Stopped taking antiviral HIV medication abruptly 5 years ago. 22. Mother (67 years old)- high cholesterol at age 55, arthritis at age 60 Father (66 years old)- high blood pressure at age 49