ARIELA HERNANDEZ IHUMAN CASE STUDY NEW SOLUTION 2026/2027 CASE: ACUTE ONSET OF DYSPNEA AND NEAR SYNCOPE (5pages)

Comprehensive Hx Overview Nurse Information • Patient name: Ariela Hernandez • Age: 64 • Reason for visit: C/C Acute onset of dyspnea and nearsyncope • Height and Weight;sometimes BMI: 5’3”, 200lbs • Blood pressure: • Pulse: • Temp: Breathless, clipped , Diaphoretic, cough (smoker) normal per pt, lightheaded Wine 4-5 glasses per week Cold 1 month ago SHx: right knee replacement 6 weeks ago, motrin for pain Hx: 3-4 bilateral knee pain for years decreased activity helps, 2 packs per day since age 24 FHx: mom DM, HTN,stroke age 80. dad heart attack 50, heart failure, no children, mexico born came at age 24 Hx HTN for years (lisinopril 10mg, HTZ 25mg, menopause x years, DM,metformin XR750mg x2), knee arthritis Worsing Cough this am, Chronic cough (smoker) normal x5 years Diaphoretic, lightheaded this am, upon standing SOB x 3 hours while washing dishes, + with activity - 5 lbs since surgery, right knee pain after surgery, increase swelling to right leg aftersurgery Obesity s/p knee surgery, recovering at home Chronic leg swelling /ache for years, increases while standing Brought in by EMS Skin is warm and slightly diaphoretic, blanching observed