Description

Attempt 3874902

CH 39y/o (M) presents with a hx:of HIV diagnosed 8yrs ago and off HAART for the past 5yrs. He presnent’s with persistent and worsening SOB for the past 2 weeks, now occurring at rest. He reports a dry, nonproductive cough. Associated symptoms include intermittent fever up to 101.8°F, night sweats, fatigue for the past 6 months, and unintentional 5lb weight loss. Use of a friend’s albuterol inhaler provided no relief. He denies CP, chills, sore throat, abdominal pain, N/V/D, rashes, oral lesions, vision changes, or jaundice. Symptoms are continuous, progressive, and limiting his usual activities, with no identifiable triggers or relieving factors. The patient appears mildly ill and fatigued with conversational dyspnea and accessory muscle use. Vital signs notable for fever (101.2°F), tachycardia, tachypnea, and hypoxemia on room air.
Anterior and posterior cervical lymphadenopathy is present (0.5–2 cm, firm, slightly tender). No other significant abnormalities noted on examination.

Attempt 3880969

The patient is a 39-year-old male with a history of untreated human immunodeficiency virus (HIV) infection who presents with a two-week history of progressively worsening exertional dyspnea, now occurring with minimal activity and during conversation. He also reports systemic and respiratory symptoms, including fever, night sweats, a nonproductive cough, unintentional weight loss, hypoxemia, and cervical lymphadenopathy.
He denies chest pain, wheezing, dizziness, recent travel, or exposure to sick contacts. A trial of albuterol inhalation therapy did not result in symptom improvement.