History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Essential Differential Diagnosis
Relevant Next Steps
Test Result 1
Essential Immediate Steps
Question 1
Question 2
Question 3
About the Case
Dyspnea and Back Pain in a 24-yr-old Man
Review of Systems
General
: Has been feeling well and doing his normal activities until symptoms began yesterday. No fever, chills, or malaise.
Skin
: Noncontributory
HEENT
: Reports frequent runny nose.
Pulmonary
: Shortness of breath that is present at rest and worsens during exertion. No cough or wheezing.
Cardiovascular
: No chest pain or palpitations.
Gastrointestinal
: Noncontributory
Genitourinary
: Noncontributory
Musculoskeletal
:Back pain as per his history of present illness.
Neurologic
: No numbness or weakness of extremities.
Psychiatric
: Noncontributory
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