SAMPLE CASE STUDY BASED ON ACTUAL PATIENT International Academy of Medical Acupuncture Case Studies Case Number: 14 Patient Initials: JSW Initial Date of Patient Consult/Treatment: January 13th, 2004 Patient Age: 43 Gender: Female Occupation: Office Manager Subjective Patient Complaints: Adult onset asthma- Dyspnea, cough and occasional wheezing symptoms upon increased physical exertion/ exercise or “stress” situations Onset: Three years ago insidiously, although after thorough questioning of the patient she revealed that she had lost a beloved pet and experienced much grief.. Prior contributory health history: 1) Seasonal upper respiratory allergies, primarily Spring and Fall 2) Occasional episodes of mild eczema (dermatitis) over the last few years on hands and forearms in times of extreme grief/stress 3) Occasional loose stools when under stress 4)Reports a history of being healthy, aside from this recent asthma problem and athletic, involved in recreational sports.. Patient presents with a series of cardiopulmonary evaluations and reports from Mayo Clinic to include: - Radiograghic examination of the heart and lungs - Spirometery and electrocardiogram - Determination of blood carbon dioxide pressure and hematocrit - Observation of patient during exercise In summary , the medical diagnosis of “Adult-Onset Asthma” was given..
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