COMPREHENSIVE I HUMAN CASE WEEK #7 60 YEAR OLD FEMALE REASON FOR ENCOUNTER: SHORTNESS OF BREATH (Class 6512) I HUMAN CASE STUDY LATEST UPDATE 2025

This comprehensive i-Human simulation features a 60-year-old female patient presenting to the outpatient internal medicine clinic with progressive shortness of breath. The case challenges students to assess a patient with multiple chronic conditions, including hypertension, diabetes, obesity, and a history of smoking, while integrating knowledge of cardiopulmonary pathology, diagnostic interpretation, and clinical reasoning.

Learners are required to conduct a focused history and physical exam, interpret diagnostic tests such as ECG, chest X-ray, and laboratory results, and identify the likely diagnosis of congestive heart failure (CHF). The scenario highlights the classic presentation of heart failure with reduced ejection fraction (HFrEF), including symptoms of dyspnea on exertion, orthopnea, weight gain, lower extremity edema, and pulmonary congestion on imaging.

🔑 Key Learning Objectives:

• Recognize signs and symptoms of congestive heart failure

• Interpret abnormal BNP, ECG, and chest X-ray findings

• Differentiate between common causes of dyspnea in older adults

• Apply evidence-based heart failure management guidelines (AHA/ACC 2025)

• Develop a safe, appropriate outpatient treatment plan

• Educate the patient on lifestyle changes, medication adherence, and follow-up care

This simulation reinforces critical thinking, diagnostic accuracy, and patient-centered care while preparing FNP students to manage complex chronic conditions in adult primary care.