YEAR-OLD PATIENT PRESENTING WITH
DYSPNEA (OUTPATIENT CLINIC WITH LAB
CAPABILITIES) LATEST UPDATE
Reason g;for g;Encounter:
Evaluation g;of g;dyspnea g;(shortness g;of g;breath).
Patient g;Demographics:
• Age: g;72 g;years
• Sex: g;Male
• Height: g;5’8” g;(173 g;cm)
• Weight: g;195 g;lbs g;(88.5 g;kg)
• BMI: g;29.6 g;kg/m²
Case g;Mode: g;Learning g;mode
,Case g;Location: g;Outpatient g;primary g;care g;clinic g;with g;laboratory g;and g;imaging g;access
, 2. Chief Complaint (CC)g; g;
“I’ve been feeling short of breath, especially when I walk.”
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3. History of Present Illness (HPI)
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The patient is a 72-year-old male who presents with a 2-week history of
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g; progressively worsening dyspnea. Initially, he noticed shortness of breath
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g; with moderate exertion such as climbing stairs. Over the past several days, the
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dyspnea has worsened and now occurs with minimal activity, including
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g; walking short distances on level ground.
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Dyspnea characteristics: g;
• Onset: Gradual g;
• Duration: 2 weeks g; g;
• Progression: Worsening g;
• Severity: Moderate to severe g; g; g;
• Pattern: Exertional; relieved by rest
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• Position: Worse when lying flat (orthopnea)
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Associated symptoms: g;
• Fatigue
• Mild bilateral lower-extremity swelling
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• Occasional dry cough g; g;