iHuman NRNP6550 Week_4 iHuman
Alvin Stafford Conditions of the
Cardiovascular “Mr Stafford isa 63-
year-old male with an 94 pack -
year…”
... [Show More] ANSWERS LATEST
UPDATES 2023 QUESTION AND
ANSWERS.
Includes: questions, physical exams, MSAP, exercise questions, diagnosis, DDX,
DDX rankings, MNM, Case plan
HPH:
Yearly physical
[DATE]
[COMPANY NAME]
[Company address]
Mr. Stafford is a 63-year-old male with an 94 pack-year history of smoking and
medical history of COPD here for his yearly physical. No new complaints noted.
PHH:
• COPD x 20+ years
• None
• Minimal exercise
• American diet
• Colonoscopy at age 55
• Yearly flu vaccine at local pharmacy
Family Hx:
• Father died at 53 from MI
• Mother died at 65 from pancreatic cancer
• Brother had partial pneumonectomy, possible lung cancer
Social Hx:
• Began smoking age 16; smokes 2 packs (filtered) per day; has never considered
quitting
• Former heavy alcohol use; now 1 to 2 beers daily, CAGE negative
• No recreational drugs
• Lives alone, wife died 4 years ago, no children
• No pets
• Worked a desk job all of his life, retired
• College-educated
• Uses seat belts
Observations: warm and sweaty (Provided by i-Human module) NOTES
FROM i-HUMAN ASSESSMENT:
1) How can I help you today? I get out of breath really easily
2) When did your fatigue/tiredness start? I don’t have that problem.
3) When did you first notice feeling short of breath? I started feeling more and more
out of breath 2 days ago.
4) What are the events surrounding the start of your difficulty breathing? It’s not
difficult as much as being SOB.
5) Do you have any other symptoms or concerns we should discuss? Yeah, I’m
coughing more than my normal smoker’s cough.
6) Are you coughing up any sputum? Yeah, I’ve coughed in the morning and brought up
white stuff for years. I am used to it. Its not much; maybe a spoonful at most. Then I’d
be fine for the rest of the day. The last few days It’s been something else though. Its
nasty. Do you really want to know more?
7) What does your sputum look like? Nasty, yellow-greenish gunk.
8) Does anything make your cough better or worse? Well, going up the stairs makes it
worse. Definitely. Can’t figure out how to make it better [Show Less]