COMPREHENSIVE I-HUMAN CASE STUDY (30yr old Female with
Abdominal Pains and Bloating) COMPLETE ASSESSMENT,
DIAGNOSIS AND MANAGEMENT PLANS LATEST 2026
Patient Profile
Age: 30 years
Gender: Female
Occupation: Office worker
Source of History: Patient (reliable historian)
Clinical Setting: Outpatient clinic / gastroenterology consultation
Case Overview
The patient presents with abdominal pain and bloating ongoing for the past 3 weeks,
worsening after meals. The case focuses on gastrointestinal assessment, history-taking,
differential diagnosis formulation, and management planning. This exam tests the
learner’s ability to evaluate common GI complaints in adults, consider both functional
and organic causes, and develop an evidence-based plan.
Chief Complaint (CC)
“I’ve had stomach pain and bloating for a few weeks, especially after eating.”
History of Present Illness (HPI) – Summary
The patient is a 30-year-old female presenting with diffuse abdominal discomfort and
bloating, particularly after meals. Pain is crampy, rated 5/10, intermittent, and worsens
,COMPREHENSIVE I-HUMAN CASE STUDY (30yr old Female with
Abdominal Pains and Bloating) COMPLETE ASSESSMENT,
DIAGNOSIS AND MANAGEMENT PLANS LATEST 2026
with large or fatty meals. She reports frequent gas, occasional constipation, and mild
nausea, but no vomiting, diarrhea, fever, or blood in stool.
No significant weight loss, jaundice, or urinary symptoms. Symptoms began
approximately 3 weeks ago and have gradually increased. She denies recent travel or
new medications.
HPI Interview (Doctor–Patient Dialogue)
Doctor: Can you describe your abdominal pain?
Patient: It’s a crampy pain, mostly in my lower and central abdomen.
Doctor: When did it start?
Patient: About three weeks ago.
Doctor: Is it constant or intermittent?
Patient: Intermittent, but worse after meals.
Doctor: Any other symptoms?
Patient: I feel bloated, pass gas more than usual, sometimes constipated.
Doctor: Any blood in your stool?
Patient: No.
Doctor: Any vomiting or fever?
Patient: No.
Doctor: Any medications or recent changes in diet?
Patient: None.
, COMPREHENSIVE I-HUMAN CASE STUDY (30yr old Female with
Abdominal Pains and Bloating) COMPLETE ASSESSMENT,
DIAGNOSIS AND MANAGEMENT PLANS LATEST 2026
Review of Systems
Gastrointestinal: Abdominal bloating, crampy pain, occasional constipation,
mild nausea
General: No fever, weight loss, fatigue
Urinary: No dysuria or hematuria
Gynecological: Regular menstrual cycles, no abnormal bleeding
Vital Signs
Vital Sign Measurement
Temperature 36.8°C
Blood Pressure 118/76 mmHg
Heart Rate 82 bpm
Respiratory Rate 16 breaths/min
Oxygen Saturation 99%
Pain Score 5/10
Past Medical History
No chronic medical conditions
Occasional heartburn
Past Surgical History
None
Medications
Abdominal Pains and Bloating) COMPLETE ASSESSMENT,
DIAGNOSIS AND MANAGEMENT PLANS LATEST 2026
Patient Profile
Age: 30 years
Gender: Female
Occupation: Office worker
Source of History: Patient (reliable historian)
Clinical Setting: Outpatient clinic / gastroenterology consultation
Case Overview
The patient presents with abdominal pain and bloating ongoing for the past 3 weeks,
worsening after meals. The case focuses on gastrointestinal assessment, history-taking,
differential diagnosis formulation, and management planning. This exam tests the
learner’s ability to evaluate common GI complaints in adults, consider both functional
and organic causes, and develop an evidence-based plan.
Chief Complaint (CC)
“I’ve had stomach pain and bloating for a few weeks, especially after eating.”
History of Present Illness (HPI) – Summary
The patient is a 30-year-old female presenting with diffuse abdominal discomfort and
bloating, particularly after meals. Pain is crampy, rated 5/10, intermittent, and worsens
,COMPREHENSIVE I-HUMAN CASE STUDY (30yr old Female with
Abdominal Pains and Bloating) COMPLETE ASSESSMENT,
DIAGNOSIS AND MANAGEMENT PLANS LATEST 2026
with large or fatty meals. She reports frequent gas, occasional constipation, and mild
nausea, but no vomiting, diarrhea, fever, or blood in stool.
No significant weight loss, jaundice, or urinary symptoms. Symptoms began
approximately 3 weeks ago and have gradually increased. She denies recent travel or
new medications.
HPI Interview (Doctor–Patient Dialogue)
Doctor: Can you describe your abdominal pain?
Patient: It’s a crampy pain, mostly in my lower and central abdomen.
Doctor: When did it start?
Patient: About three weeks ago.
Doctor: Is it constant or intermittent?
Patient: Intermittent, but worse after meals.
Doctor: Any other symptoms?
Patient: I feel bloated, pass gas more than usual, sometimes constipated.
Doctor: Any blood in your stool?
Patient: No.
Doctor: Any vomiting or fever?
Patient: No.
Doctor: Any medications or recent changes in diet?
Patient: None.
, COMPREHENSIVE I-HUMAN CASE STUDY (30yr old Female with
Abdominal Pains and Bloating) COMPLETE ASSESSMENT,
DIAGNOSIS AND MANAGEMENT PLANS LATEST 2026
Review of Systems
Gastrointestinal: Abdominal bloating, crampy pain, occasional constipation,
mild nausea
General: No fever, weight loss, fatigue
Urinary: No dysuria or hematuria
Gynecological: Regular menstrual cycles, no abnormal bleeding
Vital Signs
Vital Sign Measurement
Temperature 36.8°C
Blood Pressure 118/76 mmHg
Heart Rate 82 bpm
Respiratory Rate 16 breaths/min
Oxygen Saturation 99%
Pain Score 5/10
Past Medical History
No chronic medical conditions
Occasional heartburn
Past Surgical History
None
Medications
