NR603 - Week 3 iHuman ( Joseph camella 66 years, Dyspnea)
2024 (Verified)
Good Questions:
1.How can i help you today
● Im having trouble breathing. My wife made me come in. She’s
worried about me.
2.Do you have any other symptoms or concerns we should discuss
● An allergic cough and runny nose. I get the cough every year during
this season.
3.Do you wheeze?
● Normally just when my allergies act up. Lately ive sort of
noticed wheezing at night. Thats fairly new I guess.
4.Are you short of breath when lying down?
● Im always SOB
5.Do you sleep with pillows to help you breathe?
● Just 1 pillows
6.Does anything make your cough better or worse?
● My coughing is worse when the trees shed pollen
7.Are you taking any prescription medications?
● Yes indeed. I brought my list with me here. Lisonopril 10mg daily, HCTZ
25mg daily, glipizide 5mg daily. Also use a CPAP machine, though it’s
not really a medicine.
8.Are you taking any OTC or herbal medications?
● Aleve for shoulder pain and Allergra for the allergies
9.Do you have any allergies?
● Sulfa drugs, I am pretty sure im allergic to tree and grass pollen
and ragweed
10.Do you now or have you ever smoked or chewed tobacco
● I was a big time smoker in the past. Started when I was 16. A pack a
day, but i stopped 10 years ago. That was hard to do.
11.Do you have a problem with fatigue/tiredness
● I sure do. I get tired when i exert. I think im really out of shape, but i
also dont sleep great due to sleep apnea, and this makes me tired
during the day too
12.Have you been having fevers?
● no
13.Is there any swelling in your ankles?
● Sometimes. Not bad though
14.Do you have a problem with generalized weakness?
, ● Weakness? No, I dont think i’d call it that really
15.Do you have a cough?
● Not normally, but i have been coughing for the last couple of months
, 16.Are you coughing up any sputum?
● Occasionally, like now. I get a cold, then bronchitis with coughing up
stuff, then it goes away. Sometimes clear. Sometimes not. Its been
worse the past 2 months - coughing up this gooey white stuff in the
morning. Maybe like a few teaspoons worth. Disgusting.
17.When did your difficulty breathing start?
● About 10 years ago. Past 5 years its affected me more and more
18.Does anything make your difficulty breathing better or worse?
● Sitting still is the best for my breathing. Also it helps if i purse my
lips when i breathe out
19.Do you become short of breath with exertion?
● Yes definitely. I can walk slowly to the postbox or from room to room
ok, but im out of breath going upstairs to the bedroom or just lifting
stuff
20.Are you short of breath at rest?
● Yes just these past couple months
21. Do you have any pain or other symptoms associated with your
difficulty breathing?
● Symptoms? Like cough with runny nose. What else do you mean?
22.Has there been any change in your difficulty breathing over time?
● Big time! I used to be able too walk, work, and run with the best of
them. But not now
23.Do you have unusual heartbeats / palpitations?
● No.
24.Do you have any pain in your chest?
● No.
25.Can you tell me about any current or past medical problems?
● High blood pressure, sleep apnea, and type 2 DM. Ive had the blood
pressure thing for maybe 25 years now. The DM was maybe 5 years
ago. But all these are under control. I guess thats all i can think of thats
important.
26.Any recent acute or chronic infections?
● No.
27.Any previous medical, surgical, or dental procedures?
● I had my gall bladder removed 20 years ago. I had an accident 30 years
back and i had a surgery to fix my shoulder and for the wound in my
leg. I guess thats the big stuff
28.Have you ever been hospitalized?
● Just when i had to have some surgery
29.Do you have a family history of heart disease?
● My father died of a heart attack when he was 52. He had HTN and DM
and was a smoker. My brother had HTN and heart disease too but
passed from cancer
2024 (Verified)
Good Questions:
1.How can i help you today
● Im having trouble breathing. My wife made me come in. She’s
worried about me.
2.Do you have any other symptoms or concerns we should discuss
● An allergic cough and runny nose. I get the cough every year during
this season.
3.Do you wheeze?
● Normally just when my allergies act up. Lately ive sort of
noticed wheezing at night. Thats fairly new I guess.
4.Are you short of breath when lying down?
● Im always SOB
5.Do you sleep with pillows to help you breathe?
● Just 1 pillows
6.Does anything make your cough better or worse?
● My coughing is worse when the trees shed pollen
7.Are you taking any prescription medications?
● Yes indeed. I brought my list with me here. Lisonopril 10mg daily, HCTZ
25mg daily, glipizide 5mg daily. Also use a CPAP machine, though it’s
not really a medicine.
8.Are you taking any OTC or herbal medications?
● Aleve for shoulder pain and Allergra for the allergies
9.Do you have any allergies?
● Sulfa drugs, I am pretty sure im allergic to tree and grass pollen
and ragweed
10.Do you now or have you ever smoked or chewed tobacco
● I was a big time smoker in the past. Started when I was 16. A pack a
day, but i stopped 10 years ago. That was hard to do.
11.Do you have a problem with fatigue/tiredness
● I sure do. I get tired when i exert. I think im really out of shape, but i
also dont sleep great due to sleep apnea, and this makes me tired
during the day too
12.Have you been having fevers?
● no
13.Is there any swelling in your ankles?
● Sometimes. Not bad though
14.Do you have a problem with generalized weakness?
, ● Weakness? No, I dont think i’d call it that really
15.Do you have a cough?
● Not normally, but i have been coughing for the last couple of months
, 16.Are you coughing up any sputum?
● Occasionally, like now. I get a cold, then bronchitis with coughing up
stuff, then it goes away. Sometimes clear. Sometimes not. Its been
worse the past 2 months - coughing up this gooey white stuff in the
morning. Maybe like a few teaspoons worth. Disgusting.
17.When did your difficulty breathing start?
● About 10 years ago. Past 5 years its affected me more and more
18.Does anything make your difficulty breathing better or worse?
● Sitting still is the best for my breathing. Also it helps if i purse my
lips when i breathe out
19.Do you become short of breath with exertion?
● Yes definitely. I can walk slowly to the postbox or from room to room
ok, but im out of breath going upstairs to the bedroom or just lifting
stuff
20.Are you short of breath at rest?
● Yes just these past couple months
21. Do you have any pain or other symptoms associated with your
difficulty breathing?
● Symptoms? Like cough with runny nose. What else do you mean?
22.Has there been any change in your difficulty breathing over time?
● Big time! I used to be able too walk, work, and run with the best of
them. But not now
23.Do you have unusual heartbeats / palpitations?
● No.
24.Do you have any pain in your chest?
● No.
25.Can you tell me about any current or past medical problems?
● High blood pressure, sleep apnea, and type 2 DM. Ive had the blood
pressure thing for maybe 25 years now. The DM was maybe 5 years
ago. But all these are under control. I guess thats all i can think of thats
important.
26.Any recent acute or chronic infections?
● No.
27.Any previous medical, surgical, or dental procedures?
● I had my gall bladder removed 20 years ago. I had an accident 30 years
back and i had a surgery to fix my shoulder and for the wound in my
leg. I guess thats the big stuff
28.Have you ever been hospitalized?
● Just when i had to have some surgery
29.Do you have a family history of heart disease?
● My father died of a heart attack when he was 52. He had HTN and DM
and was a smoker. My brother had HTN and heart disease too but
passed from cancer
