I HUMAN CASE CAMILLA FRANKLIN 48 Y/O REASON FOR ENCOUNTER FATIGUE AND IRRITABILITY COVERING (history, physical exam, assessment, test results, diagnosis, plan, summary)
A
R Canbaraye (e
ior Walden Universly - NURS-6512 0 . 410~ Advanced Healt Assazern Diagnosc Reasoning i
Camilla Franklin*
48 yo
54" (163 cm)
1440 1b (655 kg)
Reason for encounter
Fabgue and irmtatility
Location
Outpationt cinic with laboratory
capat>iton
Patient Information
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o Name: Camilla Franklin
o Age: 48 years
i-Human patients, KAPLAN
e Height: 5'4" (163 cm)
o Weight: 144.0 Ib (65.5 kg)
e Location: Outpatient clinic with laboratory capabilities
o Reason for Encounter: Fatigue and irritability
History of Present Illness
Camilla Franklin presents to the outpatient clinic with complaints of fatigue and irritability that
have been progressively worsening over the past six months. She reports feeling unusually tired
even after a full night's sleep and finds herself becoming easily frustrated over minor issues. Her
energy levels are notably low, impacting her daily activities and performance at work.
She denies any significant weight changes but mentions a decreased interest in previously
enjoyed activities. She also notes difficulty concentrating and occasional headaches. She denies
any chest pain, shortness of breath, or palpitations. There is no history of recent infections,
travel, or changes in medication.