Exam (elaborations)
CAMILLA FRANKLIN I-HUMAN CASE STUDY 48-YEAR-OLD WITH FATIGUE AND IRRITABILITY CASE REVIEW WEEK 10
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CAMILLA FRANKLIN I-HUMAN CASE STUDY 48-YEAR-OLD WITH FATIGUE AND IRRITABILITY CASE REVIEW WEEK 10
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CAMILLA FRANKLIN I-HUMAN CASE STUDY 48-YEAR-OLD WITH FATIQUE AND IRRITABILITY
CASE REVIEW WEEK 10
Name: Camilla Franklin
Age: 48 years
Gender: Female
Chief Complaint:
1. What brings you in today?
2. How long have you been experiencing these symptoms?
History of Present Illness (HPI):
1. When did your symptoms start?
2. Can you describe your symptoms?
3. Have you had any fever or chills?
4. Are you experiencing any shortness of breath?
5. Do you feel fatigued?
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,6. Are you having any chest pain? If yes, is it sharp, and does it get worse with deep
breaths?
7. Have you noticed a cough? Is it productive? What color is the sputum?
8. Have you had any wheezing?
Past Medical History (PMH):
1. Do you have any chronic medical conditions, such as asthma?
2. Have you had any recent illnesses or infections, like the flu?
3. Have you had any hospitalizations or surgeries in the past?
4. Are you currently on any medications?
5. Do you have any known allergies?
Family History:
1. Is there any family history of respiratory conditions, such as asthma?
2. Are there any other significant health issues in your family?
Social History:
1. Do you smoke or have you ever smoked?
2. Do you drink alcohol? If so, how often?
3. Do you use any recreational drugs?
4. What is your living situation? Do you live in a dormitory?
5. Have you been in contact with anyone who is sick recently?
Review of Systems (ROS):
1. Have you had any weight loss or changes in appetite?
2. Are you experiencing any nausea or vomiting?
3. Have you noticed any other joint pain or swelling?
4. Are you having any headaches or dizziness? 5. Have you noticed any palpitations
or heart-related symptoms?
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, Reason for Encounter:
Camilla Franklin, an 48-year old, presents with a four-day history of
sudden-onset Fatigue and Irritability, shortness of breath, fatigue, pleuritic chest
pain, and a productive cough without wheezing.
History of Present Illness:
Onset: Symptoms began four days ago, following the resolution of a recent flu episode.
Duration: Symptoms have persisted and worsened over the past four days.
Location: Symptoms are primarily centered in the chest and respiratory system.
Characteristics:
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