NR603- WEEK 3 IHUMAN JOSEPH CAMELLA 66 YEARS,
DYSPNEA WITH COMPLETE SOLUTION 2026
NR603 - Week 3 inhuman ( Joseph Camella 66 years, Dyspnea)
Good Questions:
1.How can I help you today
● I’m having trouble breathing. My wife made me come in.
She’s worried about me.
2.Do you have any other symptoms or concerns we should discuss
● An allergic cough and runny nose. I get the cough every year
during this season.
3.Do you wheeze?
● Normally just when my allergies act up. Lately vie sort
of noticed wheezing at night. Thats fairly new I guess.
4.Are you short of breath when lying down?
● I’m always SOB
5.Do you sleep with pillows to help you breathe?
● Just 1 pillows
6.Does anything make your cough better or worse?
● My coughing is worse when the trees shed pollen
7.Are you taking any prescription medications?
● Yes indeed. I brought my list with me here. Lisinopril 10mg
daily, HCTZ 25mg daily, glipizide 5mg daily. Also use a CPAP
machine, though it’s not really a medicine.
8.Are you taking any OTC or herbal medications?
● Aleve for shoulder pain and Allegra for the allergies
9.Do you have any allergies?
● Sulfa drugs, I am pretty sure I’m allergic to tree and grass
pollen and ragweed
10.Do you now or have you ever smoked or chewed tobacco
● I was a big time smoker in the past. Started when I was 16. A
pack a day, but I stopped 10 years ago. That was hard to do.
11.Do you have a problem with fatigue/tiredness
● I sure do. I get tired when I exert. I think I’m really out of
, shape, but I also don’t sleep great due to sleep apnea, and
this makes me tired during the day too
12.Have you been having fevers?
● no
13.Is there any swelling in your ankles?
● Sometimes. Not bad though
14.Do you have a problem with generalized weakness?
● Weakness? No, I don’t think I’d call it that really
15.Do you have a cough?
● Not normally, but I have been coughing for the last couple of
months
,16.Are you coughing up any sputum?
● Occasionally, like now. I get a cold, then bronchitis with
coughing up stuff, then it goes away. Sometimes clear.
Sometimes not. It’s been worse the past 2 months - coughing
up this gooey white stuff in the morning. Maybe like a few
teaspoons worth. Disgusting.
17.When did your difficulty breathing start?
● About 10 years ago. Past 5 years its affected me more and more
18.Does anything make your difficulty breathing better or worse?
● Sitting still is the best for my breathing. Also it helps if I
purse my lips when I breathe out
19.Do you become short of breath with exertion?
● Yes definitely. I can walk slowly to the postbox or from room
to room ok, but I’m out of breath going upstairs to the
bedroom or just lifting stuff
20.Are you short of breath at rest?
● Yes just these past couple months
21.Do you have any pain or other symptoms associated with
your difficulty breathing?
● Symptoms? Like cough with runny nose. What else do you mean?
22.Has there been any change in your difficulty breathing over time?
● Big time! I used to be able to walk, work, and run with the
best of them. But not now
23.Do you have unusual heartbeats / palpitations?
● No.
24.Do you have any pain in your chest?
● No.
25.Can you tell me about any current or past medical problems?
● High blood pressure, sleep apnea, and type 2 DM. I’ve had the
blood pressure thing for maybe 25 years now. The DM was
maybe 5 years ago. But all these are under control. I guess
that’s all I can think of that’s important.
26.Any recent acute or chronic infections?
● No.
27.Any previous medical, surgical, or dental procedures?
● I had my gall bladder removed 20 years ago. I had an accident
, 30 years back and I had a surgery to fix my shoulder and for
the wound in my leg. I guess that’s the big stuff
28.Have you ever been hospitalized?
● Just when I had to have some surgery
29.Do you have a family history of heart disease?
● My father died of a heart attack when he was 52. He had HTN
and DM and was a smoker. My brother had HTN and heart
disease too but passed from cancer
30.Do you drink alcohol?
DYSPNEA WITH COMPLETE SOLUTION 2026
NR603 - Week 3 inhuman ( Joseph Camella 66 years, Dyspnea)
Good Questions:
1.How can I help you today
● I’m having trouble breathing. My wife made me come in.
She’s worried about me.
2.Do you have any other symptoms or concerns we should discuss
● An allergic cough and runny nose. I get the cough every year
during this season.
3.Do you wheeze?
● Normally just when my allergies act up. Lately vie sort
of noticed wheezing at night. Thats fairly new I guess.
4.Are you short of breath when lying down?
● I’m always SOB
5.Do you sleep with pillows to help you breathe?
● Just 1 pillows
6.Does anything make your cough better or worse?
● My coughing is worse when the trees shed pollen
7.Are you taking any prescription medications?
● Yes indeed. I brought my list with me here. Lisinopril 10mg
daily, HCTZ 25mg daily, glipizide 5mg daily. Also use a CPAP
machine, though it’s not really a medicine.
8.Are you taking any OTC or herbal medications?
● Aleve for shoulder pain and Allegra for the allergies
9.Do you have any allergies?
● Sulfa drugs, I am pretty sure I’m allergic to tree and grass
pollen and ragweed
10.Do you now or have you ever smoked or chewed tobacco
● I was a big time smoker in the past. Started when I was 16. A
pack a day, but I stopped 10 years ago. That was hard to do.
11.Do you have a problem with fatigue/tiredness
● I sure do. I get tired when I exert. I think I’m really out of
, shape, but I also don’t sleep great due to sleep apnea, and
this makes me tired during the day too
12.Have you been having fevers?
● no
13.Is there any swelling in your ankles?
● Sometimes. Not bad though
14.Do you have a problem with generalized weakness?
● Weakness? No, I don’t think I’d call it that really
15.Do you have a cough?
● Not normally, but I have been coughing for the last couple of
months
,16.Are you coughing up any sputum?
● Occasionally, like now. I get a cold, then bronchitis with
coughing up stuff, then it goes away. Sometimes clear.
Sometimes not. It’s been worse the past 2 months - coughing
up this gooey white stuff in the morning. Maybe like a few
teaspoons worth. Disgusting.
17.When did your difficulty breathing start?
● About 10 years ago. Past 5 years its affected me more and more
18.Does anything make your difficulty breathing better or worse?
● Sitting still is the best for my breathing. Also it helps if I
purse my lips when I breathe out
19.Do you become short of breath with exertion?
● Yes definitely. I can walk slowly to the postbox or from room
to room ok, but I’m out of breath going upstairs to the
bedroom or just lifting stuff
20.Are you short of breath at rest?
● Yes just these past couple months
21.Do you have any pain or other symptoms associated with
your difficulty breathing?
● Symptoms? Like cough with runny nose. What else do you mean?
22.Has there been any change in your difficulty breathing over time?
● Big time! I used to be able to walk, work, and run with the
best of them. But not now
23.Do you have unusual heartbeats / palpitations?
● No.
24.Do you have any pain in your chest?
● No.
25.Can you tell me about any current or past medical problems?
● High blood pressure, sleep apnea, and type 2 DM. I’ve had the
blood pressure thing for maybe 25 years now. The DM was
maybe 5 years ago. But all these are under control. I guess
that’s all I can think of that’s important.
26.Any recent acute or chronic infections?
● No.
27.Any previous medical, surgical, or dental procedures?
● I had my gall bladder removed 20 years ago. I had an accident
, 30 years back and I had a surgery to fix my shoulder and for
the wound in my leg. I guess that’s the big stuff
28.Have you ever been hospitalized?
● Just when I had to have some surgery
29.Do you have a family history of heart disease?
● My father died of a heart attack when he was 52. He had HTN
and DM and was a smoker. My brother had HTN and heart
disease too but passed from cancer
30.Do you drink alcohol?
