Create a post to build on to your classes original patient case study.

1. The first student posting will add on to the initial post with the "Patient Demographics and Chief Complaint" section.

2. Each subsequent student should add ONE new detail to build the patient’s medical history.

   1. You may choose to post your detail in any of the remaining categories - History of Present Illness, Past Medical History, Physical Exam, or Treatment/Plan (may need to scroll across the page).

3. Review previous posts to ensure your addition maintains consistency with the developing case.

4. Add your detail in the appropriate section based on the type of patient and unfolding details. For example, you would not add details like a male patient, presents to the oncology unit, for routine OB check.

5. Click the (+) to add your post

Note : Ensure all information added would reasonably develop into a patient case study that is not too generalized. You do not want this patient's medical record so limiting that it is boring, but not so narrow that it's hard for other students to add additional details.

This scenario begins with a 35-year-old male patient who identifies as male. He presents to:

-Diabetes Mellitus

-Hypothyroidism

-Congestive Heart Failure

-Pulmonary Edema

Significant events and/or procedures include:

-Myocardial Infarction, three years ago

-Appendectomy, seven years ago

1. Next steps (if any things seem off or may apply)

° immediate tests: EGG, chest X-ray, blood culture's, CBC, CRP, troponin, D-dimer, arterial blood gases if hypoxia is present.

° Oxygen therapy: if SpO2 < 92% on room air.

° IV access: for possible antibiotics or vasopressors if sepsis is suspected.