Name: Linda Carter
Age: 64 years
Gender: Female
Chief Complaint: Shortness of breath and feeling faint for 2 days
Setting: Emergency department (acute care setting)
Date and Time: July 16, 2025, 11:38 AM EAT
Case OverviewThis 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 2-day history of shortness of breath and feeling
faint, prompting 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 shortness of breath
, and near-syncope, considering age-related risk factors and
comorbidities.
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 conditions
(e.g., pulmonary embolism, myocardial infarction) based on
clinical findings and risk factors.
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
addressing the acute condition, stabilizing the patient, and
planning for follow-up care in the context of acute care.
The case emphasizes rapid assessment and prioritization of life-
, threatening causes of dyspnea and near-syncope in an older adult,
integrating age-specific considerations (e.g., cardiovascular risk,
comorbidities) and acute care principles. The psychosocial impact
and patient education are tailored to ensure understanding and
compliance in an acute setting.
Case DetailsHistory 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 2 days. The following
detailed history was obtained:
Onset: Symptoms began 2 days ago (July 14, 2025), with gradual
onset of dyspnea and intermittent episodes of feeling faint.
Shortness of Breath (Dyspnea):
Severity: Moderate, rated 6/10 at rest, worsening to 8/10
with minimal exertion (e.g., walking across the room,
climbing 5-6 stairs).