NRNP 6550 Week 11 i-Human Case Study Charlie Harris
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NRNP6550wk11IHUMAN
Charlie Harris 36-year-old 5’8” (173cm)
140 lb (64 kg)
Fever
persistent fever for three weeks nonproductive cough
SOB worse with exertion Scattered dry flaky skin 5lb weight loss
occasional pain with intercourse History of chlamydia three years ago
Travelled to Arizona 3 months aho and beijing 10 years ago
Family history
Maternal: High blood pressure and breast cancer Paternal: emphysema
Brother: asthma, recently returned from overseas employment
Works as a quality control for latex manufacturing Drinks couple of beers a week
Smokes 1-2 cigarettes per day for 5 years
Homosexual
Had unprotected sex. Three partners in the past year Oral and anal intercourse
VS:
T: 101
P: 112
R: 30
BP: 118/70 O2: 82%
Dry flaky skin; mild seborrheic dermatitis involving nasolabial folds, evident mild hair loss; no pallor, jaundice, rash, lesions or ulceration
Evidence of cheek and temporal muscle wasting Dryness on lips and oral mucosa observed
Multiple anterior/posterior cervical 10-15mm firm lymph nodes
Multiple anterior/posterior cervical, axillary, and inguinal 10-15mm firm lymph nodes bilaterally
Dyspnea with decreased respiratory excursion; unable to take full deep breath Decreased chest expansion
100 words
The 36-year-old male patient presented with complaints of ongoing fevers for three weeks. Additional symptoms reported include 5lb unintentional weight loss, SOB and unproductive cough. He is a chronic five-year cigarette smoker and works in a latex company with a medical history of chlamydia three years ago. He is sexually active who engages in unprotected intercourse with multiple male partners. He has no regular health screenings and updated immunizations. Physical exam revealed inability to take full deep breaths, dry skin, mild seborrheic dermatitis, cheek and temporal muscle wasting including multiple swollen lymph nodes. Vital signs are T:101F; P:102bpm; RR:30bpm; O2sat:82%……….. Continue
