
Katy Kingshaw
64 year old pensioner
PC: SOBOE (shortness of breath on exertion)
HPC: worsening SOB for 3 weeks
now unable to climb 1 flight of stairs or walk >200 yards
cough with white sputum, especially at night
needs 2-4 pillows at night
both ankles swollen in the evening
no chest pain, no palpitations
also noticed fine macular rash on her trunk about 1 month ago
PMH: DM Type I for 40 years
Glomerulonephritis 1978
Tinnitus (seen by ENT specialist = ear-nose-throat specialist)
DHx: Aspirin
Insulin self administered according to meals
ACE inhibitor
FHx: Daughter: protein S deficiency
Son: vitiligo
Sister: coeliac disease
SHx: lives with husband (wheelchair bound)
is main carer for husband, does all shopping and cleaning
non smoker
alcohol: sparkling wine for birthdays only