Name: Linda Carter
Age: 64 years
Gender: Female
Chief Complaint: Shortness of breath and feeling faint for 3 days
Setting: Emergency department (acute care)
Date and Time: July 16, 2025, 11:45 AM EAT
Case Overview
This case study, designed for Week #9 of the i-Human platform, focuses
on a 64-year-old female presenting to the emergency department with
a 3-day history of shortness of breath and feeling faint, requiring a
complete clinical evaluation and management plan in an acute care
setting. The objectives are to:
, Obtain a comprehensive history to characterize the onset,
severity, triggers, and associated symptoms of dyspnea and near-
syncope, considering age-related risk factors (e.g., cardiovascular,
thromboembolic).
Perform a targeted physical examination, focusing on
cardiopulmonary, neurologic, and systemic findings to identify
urgent conditions requiring immediate intervention.
Formulate a broad differential diagnosis for dyspnea and near-
syncope in an older adult, prioritizing life-threatening causes
based on clinical findings and risk stratification tools (e.g., Wells
Score, Geneva Score).
Select and interpret appropriate diagnostic tests to confirm the
diagnosis, rule out serious conditions, and guide acute
management.
Develop an evidence-based, patient-centered management plan
to stabilize the patient, address the acute condition, and plan for
, follow-up care, incorporating psychosocial support and family
involvement.
The case emphasizes rapid assessment of potentially life-
threatening conditions (e.g., pulmonary embolism, myocardial
infarction, heart failure) in an older adult, integrating acute care
principles, risk factor assessment, and patient education tailored
to the patient’s age and comorbidities.
Case Details
History of Present Illness (HPI)Linda Carter, a 64-year-old female,
presents to the emergency department with a chief complaint of
shortness of breath and feeling faint for 3 days. The following detailed
history was obtained:
Onset: Symptoms began 3 days ago (July 13, 2025), with gradual
onset of dyspnea and intermittent lightheadedness.
Shortness of Breath (Dyspnea):