NU 7451- H&P Chana Kumar-Case study –
2023 APRIL
Huong Vo
September 4th 2021
NU 7451-G3-2021FA
Chana Kumar H&P
Patient Information
Chana Kumar is an 86-year-old female.
History is provided by the patient, who is a reliable source.
Chief Complaint
Patient presents with the chief complaint of fatigue over the past two months.
Present Illness
Ms. Kumar stated that she had an alarming situation during her water aerobics class yesterday.
She stated she gradually became more short of breath and her heart started racing. When her
instructor checked her heart rate, it was 120 beats per minute. She said her symptoms
improved after resting for 30 minutes. Ms. Kumar has a history of hypertension in which is
, taking metoprolol 100mg daily and aspirin 81mg daily. She had a CABG performed 8 years ago.
She also takes atorvastatin 20mg daily for her high cholesterol.
Ms. Kumar also states that she has been feeling more fatigued, weaker, and easily winded over
the past two months. She feels good waking up in the morning but gets tired throughout the
day. She does get tired walking up stairs and around the block. Denies having difficulty with
performing activities of daily living. She does states she has pain in her knees but that is due to
her osteoarthritis. She takes ibuprofen 600mg as needed for pain.
Ms. Kumar also has an ongoing problem of constipation. She takes OTC bowel cleanses as
needed. She states her problem with constipation has gotten worse. She denies any changes to
her bowels or abdominal pain. She denies any other health problems other the acid reflux,
which is well controlled with esomeprazole 40mg daily.
2023 APRIL
Huong Vo
September 4th 2021
NU 7451-G3-2021FA
Chana Kumar H&P
Patient Information
Chana Kumar is an 86-year-old female.
History is provided by the patient, who is a reliable source.
Chief Complaint
Patient presents with the chief complaint of fatigue over the past two months.
Present Illness
Ms. Kumar stated that she had an alarming situation during her water aerobics class yesterday.
She stated she gradually became more short of breath and her heart started racing. When her
instructor checked her heart rate, it was 120 beats per minute. She said her symptoms
improved after resting for 30 minutes. Ms. Kumar has a history of hypertension in which is
, taking metoprolol 100mg daily and aspirin 81mg daily. She had a CABG performed 8 years ago.
She also takes atorvastatin 20mg daily for her high cholesterol.
Ms. Kumar also states that she has been feeling more fatigued, weaker, and easily winded over
the past two months. She feels good waking up in the morning but gets tired throughout the
day. She does get tired walking up stairs and around the block. Denies having difficulty with
performing activities of daily living. She does states she has pain in her knees but that is due to
her osteoarthritis. She takes ibuprofen 600mg as needed for pain.
Ms. Kumar also has an ongoing problem of constipation. She takes OTC bowel cleanses as
needed. She states her problem with constipation has gotten worse. She denies any changes to
her bowels or abdominal pain. She denies any other health problems other the acid reflux,
which is well controlled with esomeprazole 40mg daily.
