NR 601 Week 2 HF iHuman Case; 72 yo Male presented with Shortness of breath

  • NR 601 Week 2 HF iHuman Case; 72 yo Male presented with Shortness of breath
  • $20.00


Institution Chamberlain
Contributor Isabelle

History of Present illness: 72 y/o Male presented with Shortness of breath, fatigue, and swelling in abdomen and b/l LE.

History of present Illness: a 72 year old male, with PMH of hypertension, CAD, hyperlipidemia, coronary stent placement 6 months ago. Former smoker, quit 6 months ago. Patient presented with complaints of shortness of breath, worse with physical activity and when lying down, fatigue, edema in b/l LE and abdomen, cough with white frothy mucus. Patient denies abdominal pain, chest pain, GU or GI complaints.

Past Medical History: HTN, CAD, hyperlipidemia.

Hospitalizations/Surgeries: coronary stent placement 6 months ago.

Medications: takes metoprolol, ramipril, clopidogrel, atorvastatin, ASA, Tylenol prn.

Allergies: NKDA.

Preventive health: took flu shot, pneumonia shots.

Family history: Father and mother deceased from heart problems.

Social history: married and lives with his family. Former smoker. Drinks 1-2 drinks of etoh a day.

Review of systems:

General: shortness of breath, fatigue, worsening of abdominal and leg swelling, not sleeping good fur to orthopnea and discomfort.

Integumentary/Breast: b/l lower extremities swelling. Skin is pink, warm, and dry. Normal skin turgor, no rash, lesion.

HEENT/Neck: denies neck swelling, neck pain, denies double vision, or visual changes. Denies history of cervical lymphadenopathy.

Cardiovascular: history of coronary artery stent 6 months ago. Complains of b/l LE and abdomen swelling, decreased exercise tolerance. Denies chest pain, chest pain or discomfort with exertion, denies palpitations……….. Continue

 

 

 

Instituition / Term
Term Uploaded 2023
Institution Chamberlain
Contributor Isabelle
 

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