NR603 - Week 3 iHuman ( Joseph camella 66 years, Dyspnea)

NR603 - Week 3 iHuman ( Joseph camella 66 years, Dyspnea)

Latest Updated 2023 “Shortness of Breath with Exertion”
“Chest Tightness andCough”
(ihuman patient-Katherine Harris)

1. How can I help you today?
I have had a cough for last three weeks which has been getting worse I have alsohad shortness of breath when
I'm walking to my next class at school I have to stop and take a break.
2. Do you have any other symptoms or concerns we should discuss? no but I did have a runny nose
and congestion three weeks ago the conditionwent away in a week but the cough is still there.
HPI: BREATHING SOB:
3. Is anything make your shortness of breath worse or better.
It gets a little better when I stop working and rest for a bit it’s a little worse at night.(+)
4. Has there been any change in your shortness of breath overtime The last few years i have had
cough and shortness of breath but it got better after a fewdays so I did not get checked. This time it’s lasting longer. I
also did not want to stressout my parents because they have to work so much so I never told them.
(+) COUGH X STARTED 3 WEEEKS AGOHPI: COUGH
5. Anything make your cough better or worse?
Not really it has been constant but it has been getting worse over the past threedays and seems to be worse
at night.
6. Do you
have
any
pain or
other
symptoms associated with your cough?
Nothing but I am getting out of breath and I think that it may be related.
7. Are you coughing up any sputum? No
8. Treatments have you had for your cough? Nothing
9. Do you have any allergies? You mean like hay fever and stuff like that no
10. Are you taking any prescription medication’s? No still no prescriptions
11. Are you taking any over-the-counter or herbal medications. Nonothing like that
12. Are your immunizations up-to-date? I assume so
13. Now or have you ever smoked or chewed tobacco. No
14. Exposed to secondhand smoke? Yes my dad lost his job three years agoso he has been doing our job
since then. We had to move to an older building, and it has cockroaches in it. Also the neighbors smoke
inside thebuilding so I always smell smoke everywhere.
15. Do you Wheeze? I’m not sure
16. Did you first notice feeling of shortness of breath ? This has beenhappening for three days
now and it’s made me a little scared.
17. Does your chest feel tight or heavy? Yes actually that’s the right way todescribe it tight that it’s
just a little bit
Ask about : can you tell me about any current or past medical problems thatyou have had? I have eczema
but it is mild and I moisturize every day so it does not bother me too much.
(FH) Tell me about the health of your grandparents, parents, and children.
Family history both my parents are healthy. My dad has eczema like me but he controls itby moisturizing every day. I am not
aware of my grandparent’s health