iHuman Case Study: 62-Year-Old With Frequent
Urination – Full and Differential Diagnosis”
“Detailed iHuman case study of a 62-year-old patient with frequent urination,
including, assessment, differential diagnoses, and treatment plan.”
• iHuman case frequent urination
• 62 year old frequent urination
• iHuman genitourinary
, Patient Information
• Name: R.M. (initials only)
• Age: 68 years
• Gender: Male
• Ethnicity: African American
• Source of History: Patient (reliable)
• Date of Encounter: iHuman Case
S – Subjective
Chief Complaint (CC):
“I’ve been urinating a lot more than usual.”
History of Present Illness (HPI):
R.M. is a 68-year-old male who presents with complaints of frequent urination for the past three months. He reports
urinary frequency occurring every 1–2 hours during the day and waking 3–4 times nightly (nocturia) to void. He
describes a weak urinary stream, hesitancy, intermittent flow, and a sensation of incomplete bladder emptying. He
denies dysuria, hematuria, fever, chills, flank pain, or suprapubic pain. He reports occasional urgency but no
incontinence. Symptoms have progressively worsened and are interfering with sleep and daily activities.
Past Medical History (PMH):
• Hypertension
• Hyperlipidemia
• No history of diabetes mellitus
Past Surgical History (PSH):
• Appendectomy (remote)
Medications:
• Lisinopril 20 mg PO daily
, • Atorvastatin 20 mg PO nightly
Allergies:
• No known drug allergies (NKDA)
Family History (FH):
• Father: Benign prostatic hyperplasia
• Mother: Deceased, stroke
• No family history of prostate cancer
Social History (SH):
• Retired
• Tobacco: Former smoker (quit 15 years ago)
• Alcohol: Occasional (1–2 drinks/week)
• Illicit drugs: Denies
• Sexual activity: Active with spouse
Review of Systems (ROS):
• General: Denies fever, weight loss, fatigue
• Genitourinary: Reports frequency, nocturia, weak stream, hesitancy; denies dysuria, hematuria
• Endocrine: Denies polydipsia, polyphagia
• Neurological: Denies weakness or numbness
O – Objective
Vital Signs:
• BP: 134/82 mmHg
• HR: 76 bpm
• RR: 16 breaths/min
• Temp: 98.2°F (36.8°C)
• BMI: 28.5 kg/m²
Physical Examination:
General: Alert, well-appearing elderly male in no acute distress.
Abdomen:
• Soft, non-tender, non-distended
• No suprapubic fullness
Genitourinary:
Urination – Full and Differential Diagnosis”
“Detailed iHuman case study of a 62-year-old patient with frequent urination,
including, assessment, differential diagnoses, and treatment plan.”
• iHuman case frequent urination
• 62 year old frequent urination
• iHuman genitourinary
, Patient Information
• Name: R.M. (initials only)
• Age: 68 years
• Gender: Male
• Ethnicity: African American
• Source of History: Patient (reliable)
• Date of Encounter: iHuman Case
S – Subjective
Chief Complaint (CC):
“I’ve been urinating a lot more than usual.”
History of Present Illness (HPI):
R.M. is a 68-year-old male who presents with complaints of frequent urination for the past three months. He reports
urinary frequency occurring every 1–2 hours during the day and waking 3–4 times nightly (nocturia) to void. He
describes a weak urinary stream, hesitancy, intermittent flow, and a sensation of incomplete bladder emptying. He
denies dysuria, hematuria, fever, chills, flank pain, or suprapubic pain. He reports occasional urgency but no
incontinence. Symptoms have progressively worsened and are interfering with sleep and daily activities.
Past Medical History (PMH):
• Hypertension
• Hyperlipidemia
• No history of diabetes mellitus
Past Surgical History (PSH):
• Appendectomy (remote)
Medications:
• Lisinopril 20 mg PO daily
, • Atorvastatin 20 mg PO nightly
Allergies:
• No known drug allergies (NKDA)
Family History (FH):
• Father: Benign prostatic hyperplasia
• Mother: Deceased, stroke
• No family history of prostate cancer
Social History (SH):
• Retired
• Tobacco: Former smoker (quit 15 years ago)
• Alcohol: Occasional (1–2 drinks/week)
• Illicit drugs: Denies
• Sexual activity: Active with spouse
Review of Systems (ROS):
• General: Denies fever, weight loss, fatigue
• Genitourinary: Reports frequency, nocturia, weak stream, hesitancy; denies dysuria, hematuria
• Endocrine: Denies polydipsia, polyphagia
• Neurological: Denies weakness or numbness
O – Objective
Vital Signs:
• BP: 134/82 mmHg
• HR: 76 bpm
• RR: 16 breaths/min
• Temp: 98.2°F (36.8°C)
• BMI: 28.5 kg/m²
Physical Examination:
General: Alert, well-appearing elderly male in no acute distress.
Abdomen:
• Soft, non-tender, non-distended
• No suprapubic fullness
Genitourinary:
