Charlie Harris iHuman (39 y/o with Shortness of Breath)

NR 603 Week 5 iHuman

Patient Presentation

A 39-year-old male smoker with untreated HIV reports worsening dyspnea (initially exertional, now at rest), nonproductive cough, six months of fatigue, fever (101.2°F), night sweats, and 5-pound unintentional weight loss.

Key History

• Untreated HIV infection increases risk for opportunistic infections and malignancies.

• Tobacco use contributes to respiratory symptoms.

Exam Findings

• Mild distress with conversational dyspnea and accessory muscle use.

• Vitals: Tachycardia, tachypnea, labored breathing, fever; stable blood pressure.

• Firm, mildly tender cervical lymphadenopathy (anterior/posterior); no edema or focal neuro deficits.