i-Human Case Week #7: 33-Year-Old Female with
Flank Pain Walden University
Table of Contents
iHuman Case Overview (Doorway Information)
SOAP Note
o Subjective Data
o Objective Data
o Assessment
o Plan
Complete Step-by-Step Guide to Writing the iHuman Case Study
o Step 1: Pre-Case Preparation and Initial Approach
, o Step 2: Conducting the History of Present Illness (HPI)
o Step 3: Exposure/Risk Factor History
o Step 4: Physical Examination Strategy
o Step 5: Diagnostic Reasoning and Test Interpretation
o Step 6: Developing Differential Diagnoses
o Step 7: Final Diagnosis and MSAP
o Step 8: Comprehensive Management Plan
o Step 9: Documentation and Submission Tips
o Step 10: Key Learning Points for Success
iHuman Case Summary
o Grading Criteria
o Example of a High-Scoring Clinical Summary
Conclusion
iHuman Case Overview (Doorway Information)
Patient Information:
Name: (Not disclosed – standard i-Human protocol)
Age: 33 years old
Gender: Female
Height: 5' 6" (168 cm)
Weight: 130.0 lb (59.1 kg)
Reason for Encounter: Flank pain
The patient is a 33-year-old female who presents to the clinic complaining of flank pain. This case
simulates a realistic outpatient or urgent care encounter requiring thorough history-taking, targeted
physical examination, diagnostic reasoning, and development of a management plan.
Setting: Emergency Department
Source of Information: Patient
Chief Complaint
, "I have this awful, sharp pain in my right side that started last night, and I just feel
so sick."
Clinician Questions and Patient Responses
Clinician: "Can you tell me more about this pain in your side? When did it
start?"
Patient: "It really got bad late last night. I was trying to sleep and it just kept
waking me up. Before that, for a few days, it just felt a little weird when I peed,
kind of a burning feeling."
Clinician: "On a scale of 0 to 10, with 10 being the worst pain imaginable, how
would you rate this pain right now?"
Patient: "Right now, it's a solid 8. It's just a deep, constant, aching pain."
Clinician: "Does the pain radiate or move anywhere else, like your groin or
abdomen?"
Patient: "No, it just stays right here in my back, on the right side. It sort of wraps
around from my back towards my side."
Clinician: "Is there anything that makes the pain better or worse?"
Patient: "Not really. I've tried lying in different positions, but nothing helps.
Moving around definitely makes it throb more. I took some ibuprofen a few hours
ago, but it didn't touch it."
Clinician: "Have you experienced any other symptoms along with the pain?"
Patient: "Yes, I feel terrible. I've had chills, like I can't get warm, and I feel really
feverish. I'm also pretty nauseous and threw up once this morning."
Clinician: "You mentioned a burning feeling when you urinate. Can you tell
me more about that?"
Patient: "Yeah, for maybe three or four days, it's been stinging when I urinate. I've
also had to go to the bathroom way more often than usual, even when not much
comes out."
Clinician: "Have you noticed any change in the color or smell of your urine?"
Patient: "It looks a little cloudy, and maybe has a stronger smell than normal. I
Flank Pain Walden University
Table of Contents
iHuman Case Overview (Doorway Information)
SOAP Note
o Subjective Data
o Objective Data
o Assessment
o Plan
Complete Step-by-Step Guide to Writing the iHuman Case Study
o Step 1: Pre-Case Preparation and Initial Approach
, o Step 2: Conducting the History of Present Illness (HPI)
o Step 3: Exposure/Risk Factor History
o Step 4: Physical Examination Strategy
o Step 5: Diagnostic Reasoning and Test Interpretation
o Step 6: Developing Differential Diagnoses
o Step 7: Final Diagnosis and MSAP
o Step 8: Comprehensive Management Plan
o Step 9: Documentation and Submission Tips
o Step 10: Key Learning Points for Success
iHuman Case Summary
o Grading Criteria
o Example of a High-Scoring Clinical Summary
Conclusion
iHuman Case Overview (Doorway Information)
Patient Information:
Name: (Not disclosed – standard i-Human protocol)
Age: 33 years old
Gender: Female
Height: 5' 6" (168 cm)
Weight: 130.0 lb (59.1 kg)
Reason for Encounter: Flank pain
The patient is a 33-year-old female who presents to the clinic complaining of flank pain. This case
simulates a realistic outpatient or urgent care encounter requiring thorough history-taking, targeted
physical examination, diagnostic reasoning, and development of a management plan.
Setting: Emergency Department
Source of Information: Patient
Chief Complaint
, "I have this awful, sharp pain in my right side that started last night, and I just feel
so sick."
Clinician Questions and Patient Responses
Clinician: "Can you tell me more about this pain in your side? When did it
start?"
Patient: "It really got bad late last night. I was trying to sleep and it just kept
waking me up. Before that, for a few days, it just felt a little weird when I peed,
kind of a burning feeling."
Clinician: "On a scale of 0 to 10, with 10 being the worst pain imaginable, how
would you rate this pain right now?"
Patient: "Right now, it's a solid 8. It's just a deep, constant, aching pain."
Clinician: "Does the pain radiate or move anywhere else, like your groin or
abdomen?"
Patient: "No, it just stays right here in my back, on the right side. It sort of wraps
around from my back towards my side."
Clinician: "Is there anything that makes the pain better or worse?"
Patient: "Not really. I've tried lying in different positions, but nothing helps.
Moving around definitely makes it throb more. I took some ibuprofen a few hours
ago, but it didn't touch it."
Clinician: "Have you experienced any other symptoms along with the pain?"
Patient: "Yes, I feel terrible. I've had chills, like I can't get warm, and I feel really
feverish. I'm also pretty nauseous and threw up once this morning."
Clinician: "You mentioned a burning feeling when you urinate. Can you tell
me more about that?"
Patient: "Yeah, for maybe three or four days, it's been stinging when I urinate. I've
also had to go to the bathroom way more often than usual, even when not much
comes out."
Clinician: "Have you noticed any change in the color or smell of your urine?"
Patient: "It looks a little cloudy, and maybe has a stronger smell than normal. I
