i-Human Week #4 Full Case File for a 15-Year-Old Male with Acute Shortness of Breath (Likely Asthma Exacerbation)

I-HUMAN WEEK#4 FULL CASE FILE FOR A 15 YRS OLD MALE
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WITH ACUTE SHORTNESS OF BREATH (LIKELY ASTHMA
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EXACERBATION).




FULL i-HUMAN CASE FILE – Case #4
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Patient Overview
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• Name:i
• Age:i 15i years
• Gender:i Male
• Height:i 5’10”i (178i cm)
• Weight:i 170i lbi (77.3i kg)
• Setting:i Emergencyi Department
• Chiefi Complaint:i Shortnessi ofi breath

, 1. HISTORY TAKING (COMPLETE)
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Chief Complaint (CC):
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“Shortnessi ofi breath”




HPI (OPQRST FORMAT – HIGH VALUE)
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• Onset:i Begani 1–2i daysi agoi (ori suddeni onseti ifi acutei case)
• Provocation:i Worsei withi exertion,i possiblei allergeni exposure
• Quality:i Tightnessi ini chest,i difficultyi breathing,i wheezing
• Radiation:i None
• Severity:i 6–8/10i initially
• Timing:i Progressivei worseningi untili EDi visit




Targeted History Questions (Ask in i-Human)
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Respiratory

• Doi youi havei wheezing?i ✅
• Anyi cough?i Productivei ori dry?
• Doi youi feeli chesti tightness?
• Anyi historyi ofi asthma?i ⭐
• Havei youi usedi ani inhaleri before?

Infection Screening i




• Feveri ori chills?
• Sorei throat?
• Recenti illness?

Cardiac Screeningi




• Chesti pain?
• Palpitations?
• Syncope?

Allergy/Trigger Questions i