COMPREHENSIVE CASE 33-Year-Old Female with Flank Pain | i-Human
Case Week #7 Complete Clinician Graduate Premium Sick Visit Case
PATIENT INFORMATION
• Name: Not specified (i-Human simulated patient)
• Age: 33 years
• Gender: Female
• Height: 5 ft 6 in (168 cm)
• Weight: 130 lbs (59.1 kg)
• Body Mass Index (BMI): 21.0 (Normal range)
Reason for Encounter
The patient presents with right-sided flank pain, which is the primary concern requiring clinical
evaluation.
Clinical Setting
• Location: Outpatient primary care clinic
• Available Resources:
, o X-ray imaging
o Electrocardiogram (ECG)
o Laboratory testing services
HPI TABLE – 33-Year-Old Female with Flank Pain
# Question (Clinician Asks) Patient Response Clinical Significance Category
1 What brings you in today? I have pain in my side. Chief complaint General
2 Where exactly is the pain? On my right flank. Location Pain
3 When did it start? About 2 days ago. Onset Pain
4 Was it sudden or gradual? Sudden. Acute cause Pain
5 How would you describe the pain? Sharp and severe. Renal colic Pain
6 Does the pain stay or come and go? It comes in waves. Colicky pain Pain
7 Does it radiate anywhere? Yes, toward my groin. Kidney stone sign Pain
8 How severe is it (1–10)? 8 out of 10. Severity Pain
9 What makes it worse? Moving around. Aggravating Pain
, # Question (Clinician Asks) Patient Response Clinical Significance Category
10 What makes it better? Nothing really helps. Severe pathology Pain
11 Have you had this before? No. First episode History
12 Any nausea? Yes. Renal colic GI
13 Any vomiting? Once. Pain severity GI
14 Fever? No. Infection less likely General
15 Chills? No. Infection General
16 Pain during urination? Yes. UTI/stone GU
17 Burning urination? Slightly. UTI GU
18 Increased frequency? Yes. UTI GU
19 Urgency? Yes. UTI GU
20 Blood in urine? I noticed pink urine. Hematuria GU
Case Week #7 Complete Clinician Graduate Premium Sick Visit Case
PATIENT INFORMATION
• Name: Not specified (i-Human simulated patient)
• Age: 33 years
• Gender: Female
• Height: 5 ft 6 in (168 cm)
• Weight: 130 lbs (59.1 kg)
• Body Mass Index (BMI): 21.0 (Normal range)
Reason for Encounter
The patient presents with right-sided flank pain, which is the primary concern requiring clinical
evaluation.
Clinical Setting
• Location: Outpatient primary care clinic
• Available Resources:
, o X-ray imaging
o Electrocardiogram (ECG)
o Laboratory testing services
HPI TABLE – 33-Year-Old Female with Flank Pain
# Question (Clinician Asks) Patient Response Clinical Significance Category
1 What brings you in today? I have pain in my side. Chief complaint General
2 Where exactly is the pain? On my right flank. Location Pain
3 When did it start? About 2 days ago. Onset Pain
4 Was it sudden or gradual? Sudden. Acute cause Pain
5 How would you describe the pain? Sharp and severe. Renal colic Pain
6 Does the pain stay or come and go? It comes in waves. Colicky pain Pain
7 Does it radiate anywhere? Yes, toward my groin. Kidney stone sign Pain
8 How severe is it (1–10)? 8 out of 10. Severity Pain
9 What makes it worse? Moving around. Aggravating Pain
, # Question (Clinician Asks) Patient Response Clinical Significance Category
10 What makes it better? Nothing really helps. Severe pathology Pain
11 Have you had this before? No. First episode History
12 Any nausea? Yes. Renal colic GI
13 Any vomiting? Once. Pain severity GI
14 Fever? No. Infection less likely General
15 Chills? No. Infection General
16 Pain during urination? Yes. UTI/stone GU
17 Burning urination? Slightly. UTI GU
18 Increased frequency? Yes. UTI GU
19 Urgency? Yes. UTI GU
20 Blood in urine? I noticed pink urine. Hematuria GU
