Health history,ROS and 3 generation genogram Medicine Coursework

Lung Disease
Your Name
Subject and Section
Professor’s name
Date of Submission
Date of Assessment: August 8, 2020
General Information: Name: CY; Age: 57 years-old. Date of Birth: June 30, 1963; Occupation: Bank Teller; Religion: Roman Catholic; Address: Los Angeles, California, USA.
Subjective:
CC: “I have been feeling chest pain and difficulty in breathing especially at night for the past two months.”
HPI: CY is a 57-year-old Caucasian man who came to consult secondary to vague chest pain associated with difficulty in breathing graded 7/10 on the subjective pain scale. The pain is usually felt at night and it cannot be relieved by changing positions but can reduce the pain to 5/10 by taking Ibuprofen. This was also associated with a productive cough (green sputum). He started feeling it 2 months ago when was jogging at a fast speed for over 15 minutes. He does not usually get tired easily or experience SOB. That night, he cannot sleep and felt a vague pain on his chest and difficulty breathing. At first, the chest pain was only at 4/10 so he neglected it. However, 1-month PTC, the pain gradually increased to 7/10. This was already associated with dull, aching, unremitting pain on his left shoulder, medial border of left scapula, and medial side of the left forearm. He also noticed that he started losing weight and cannot tolerate slow walking for 20 minutes 1 month ago. Yesterday, his cough had sputum and a tinge of blood which prompted the consult.
PMH: The patient was hospitalized for chronic bronchitis and pneumonia last June 2019. The patient also has asthma since childhood. However, it rarely occurs upon reaching adulthood. He does not have any history of any kind of trauma, injuries, accidents, or surgeries. Immunization: He was vaccinated with PPSV3 last June 2019.
Allergies: NKDA.
Family Hx: His father (BG) died of non-small cell carcinoma when he was 65 y/o. He also had high HTN. His mother (GG) died from cardiac arrest when she was 73 y/o. She had HTN and asthma. His younger brother, CJ, 53 y/o, has lung cancer.
Family Structure: BG and GG married and had two sons, namely, CY, 57 y/o, and CJ, 53 y/o. BG died at the age of 65 from lung cancer but he also suffered from heart disease. On the other hand, GG died at the age of 73 from heart disease but she also suffered from asthma. CY, the patient, has asthma and hypertension. He is married AD who is currently 56 y/o and has heart disease. They had 3 children, namely, CZ (female), 29 y/o, SZ (female), 27 y/o, and JA (male), 18 y/o. Both SZ and JA suffer from asthma while CZ has depression.
CY married and lived with OB, 33 y/o, who also has heart ...