i-Human Case Study Week 7 (Zulkumor Murat): Nausea & Fatigue

I-HUMAN CASE STUDY WEEK 7 i i i i




(ZULKUMOR MURAT) NAUSEA & FATIGUE i i i i




A+ GRADED EXAM UPDATE i i i



i i
i


Patient:i Zulkumori Murati
Age:i 65i yearsi
Sex:i Malei
Setting:i Emergencyi Departmenti (fulli labsi andi imagingi available)i Chiefi
Complaint:i Nauseai andi fatiguei


Overview of Presenting Problem
i i i i

i
Zulkumori Murati isi ai 65-year-oldi malei presentingi withi severali daysi ofi
progressivei nauseai andi generalizedi fatigue.i Hisi symptomsi arei accompaniedi byi
i-Humani Casei –i Weeki 7i darki urine,i pruritus,i andi visiblei jaundice,i whichi raisei immediatei concerni fori
hepatici dysfunction.i Thei absencei ofi abdominali pain,i fever,i vomiting,i alcoholi
use,i

i ori recenti medicationi changesi helpsi narrowi thei clinicali focusi awayi fromi infectiousi GIi illnessi ori alcohol-relatedi disease.i

i




i




i-Human Case – Week 7 i i i i i


Patient:i Zulkumori Murati
Age:i 65i yearsi
Sex:i Malei
Height:i 5’8”i (173i cm)i
Weight:i 204i lbi (92.5i kg)i
BMI:i ~31i (Obesei Classi I)i
Setting:i Emergencyi Departmenti (fulli imagingi &i labsi available)i
Chiefi Complaint:i Nauseai andi fatiguei

i




1️ Chief Complaint (CC)
i i i i




“I’vei beeni feelingi nauseousi andi extremelyi tired.”i

i
i




1

, 2️ History of Present Illness (HPI)
i i i i i i



Zulkumori Murati isi ai 65-year-oldi malei whoi presentsi withi 4i daysi ofi worseningi nauseai andi
generalizedi fatigue.i Symptomsi begani graduallyi andi havei progressed.i Hei reportsi poori appetite,i
dark-coloredi urine,i andi yellowingi ofi thei eyesi noticedi byi family.i Hei deniesi vomiting,i diarrhea,i
abdominali trauma,i chesti pain,i dyspnea,i fever,i ori chills.i Noi recenti travel.i Noi alcoholi use.i Noi IVi
drugi use.i Noi newi medicationsi ori supplements.i

i




3️ Past Medical History
i i i i



• Hypertensioni
• Typei 2i Diabetesi Mellitusi
• Hyperlipidemiai

i




4 Surgical History
i i i



i Appendectomyi (remote)i

i




5️ Medications
i i



• Metformini 1000i mgi POi BIDi
• Lisinoprili 20i mgi POi dailyi
• Atorvastatini 40i mgi POi nightlyi

i




6️ Allergies
i i



i Noi knowni drugi allergiesi (NKDA)i

i




7 Social History
i i i



• Formeri smokeri (30i pack-years,i quiti 10i yearsi ago)i
• Deniesi alcoholi usei
• Deniesi illiciti drugi usei
Married,i retiredi