i-Human Case Week 2 Cardiovascular
Chris Alvarez
72 year old
Reason for encounter: Shortness of breath
i-Human Week 2 Cardiovascular
Chris Alvarez
72 year old Shortness of breath
Reason for encounter
Shortness of breath
History Questions
How can I help you today?
Do you have any pain in your chest?
When did you first notice feeling short of breath?
What are the events surrounding the start of your shortness of breath?
Does your shortness of breath come and go?
How long does your shortness of breath last?
Does your chest feel tight or heavy?
Do you have any pain in your chest?
When did the pain in your chest start?
- Do you have any unusual heartbeats (palpitations)
- …….
Physical Exams Required
- Weight
- Height
- cognitive status
- SpO2
- temperature
- blood pressure
- pulse
- respiration
- temperature
- auscultate heart
- auscultate lungs
- perform …….
Case Problem Statement
The patient is an obese 72-year-old male with HTN, hyperlipidemia and a 50 pack-year history of smoking, who presents six months S/P coronary-artery stent placement with a two-month history of progressive shortness of breath and PND. Associated
symptoms include orthopnea, cough, occasional wheezing, and significant edema of the lower extremities and abdomen. Physical examination demonstrates signs of left- and right-sided heart failure.
