Detailed I-Human Week 7 Case Report: 65-Year-Old Patient Wit

DETAILED I-HUMAN WEEK 7 CASE REPORT: 65-YEAR-OLD PATIENT WITH NAUSEA AND FATIGUE | DIFFERENTIAL DIAGNOSIS, LABS & MANAGEMENTiHuman Case Study: Comprehensive Patient Report Simulated Patient: James Wilson Age: 65 Chief Complaint: "I've been feeling sick to my stomach and extremely tired for about a week." 1. Subjective Data (S) History of Present Illness (HPI): Mr. Wilson is a 65-year-old male who presents with a 7-day history of progressive, intermittent nausea and profound fatigue. He rates his nausea as 6/10 in severity, non-bloody, non-bilious, and unrelated to meals. He reports no frank vomiting but describes "dry heaving" in the mornings. The fatigue is debilitating, causing him to nap dailya significant change from his baseline. He denies fever, chills, or recent sick contacts. Past Medical History (PMH): Hypertension: Diagnosed 10 years ago. Type 2 Diabetes Mellitus: Diagnosed 8 years ago. Hyperlipidemia: Diagnosed 5 years ago. Medications: Lisinopril 10mg daily, Metformin 1000mg BID, Atorvastatin 20mg daily. He confirms adherence. Allergies: NKDA. Surgeries: Appendectomy (age 20). Social History (SH): Tobacco: 30 pack-year history, quit 5 years ago. Alcohol: Reports 1-2 glasses of whiskey nightly. Occupation: Retired postal worker. Living Situation: Lives with wife; two adult children are independent.Family History (FH): Father: MI at age