NR 602 Week 3 iHuman
NR 602 Week 3 iHuman Virtual Patient Encounter – Katherine Harris
Attempt: KH is a 16-year-old female with a history of eczema and a recent URI who presents with a 3-week worsening dry cough, shortness of breath on exertion, chest tightness, and wheezing. Physical exam reveals bilateral expiratory wheezing, tachypnea, O2 sat of 94%, and labored breathing. KH reports cockroaches in her home. KH is UTD on all immunizations.
Attempt: KH is a 16-year-old female who presents with complaints of a cough and shortness of breath. Cough started 3 weeks ago with a runny nose and congestion which has subsided.
Cough is dry and no sputum noted. She reports increasing SOB with minimal exertion x3 days. On exam she is hypoxic at 94%, tachypneic, respirations are labored, expiratory wheezes are heard throughout, and subcostal retractions are present. Pertinent negatives include afebrile, lung fields resonant and not hyper-resonant, and no lymphadenopathy. Known exposure to cockroaches and secondhand smoke due to neighbors smoking inside the housing building. PMH of eczema well controlled.
NR 602 Week 3 iHuman Virtual Patient Encounter – Paisley Ward
P.W. is a 16-year-old female presenting with a 3-week history of dry, non-productive cough and shortness of breath x 3 days. Cough followed upper respiratory symptoms of congestion and runny nose 3 weeks ago. She reports that cough and shortness of breath are worse at night, and shortness of breath is exacerbated by walking and talking. She denies any relieving factors for the cough, but shortness of breath is improved with rest. She has not tried any treatments for these symptoms. Pertinent PMH includes episodes of reactive airway when she was younger, and eczema. She denies chest pain but describes chest tightness. She lives in an older apartment building with her parents and reports exposure to cockroaches and secondhand smoke daily. Physical exam reveals labored tachypneic respirations, SpO2 94% on RA, subcostal retractions, and bilateral expiratory wheezing. Exam is negative for fever, stridor, or cyanosis.
