iHuman 2025/2026 Case Study: Bertie
Bridges (NUR 2026 Week 9) by
Kaplan i-Human Patients -
Comprehensive Systematic Diagnostic
Assessment Guide for First-Attempt
Success
Based on the 2025/2026 i-Human case study for NUR 601, here is a comprehensive SOAP note and
management guide for **Kevin Dale**, a 58-year-old male presenting with progressive exertional
dyspnea and fatigue.
, **Please Note:** While the core clinical picture is consistent, always verify specific findings (vital signs,
lab values) within your own i-Human simulation instance as slight variations may exist .
---
### Case Overview
- **Patient:** Kevin Dale, 58-year-old male
- **Setting:** Emergency Department
- **Chief Complaint:** "I get short of breath even with small activities, and I feel exhausted all the time"
.
- **Primary Diagnosis:** Acute decompensated **Heart Failure with Reduced Ejection Fraction
(HFrEF)** , likely ischemic cardiomyopathy .
- **Key Comorbidities:** Atrial Fibrillation (newly identified), Hypertension, Hyperlipidemia, Type 2
Diabetes .
---
### Subjective Data (History of Present Illness)
Kevin Dale reports a **three-week history** of progressive dyspnea, now occurring with minimal
exertion such as walking short distances or climbing stairs . He describes persistent fatigue and
decreased ability to perform daily tasks.
- **Onset:** Insidious, gradually worsening over 3 weeks .
- **Quality:** Shortness of breath is primarily exertional; fatigue is constant.
- **Associated Symptoms:** Reports occasional chest tightness, palpitations, mild bilateral ankle
swelling, and a nocturnal cough . He notes orthopnea (worse lying flat) relieved by sitting upright.
- **Denies:** Acute chest pain, fever, hemoptysis, or recent illness .
Bridges (NUR 2026 Week 9) by
Kaplan i-Human Patients -
Comprehensive Systematic Diagnostic
Assessment Guide for First-Attempt
Success
Based on the 2025/2026 i-Human case study for NUR 601, here is a comprehensive SOAP note and
management guide for **Kevin Dale**, a 58-year-old male presenting with progressive exertional
dyspnea and fatigue.
, **Please Note:** While the core clinical picture is consistent, always verify specific findings (vital signs,
lab values) within your own i-Human simulation instance as slight variations may exist .
---
### Case Overview
- **Patient:** Kevin Dale, 58-year-old male
- **Setting:** Emergency Department
- **Chief Complaint:** "I get short of breath even with small activities, and I feel exhausted all the time"
.
- **Primary Diagnosis:** Acute decompensated **Heart Failure with Reduced Ejection Fraction
(HFrEF)** , likely ischemic cardiomyopathy .
- **Key Comorbidities:** Atrial Fibrillation (newly identified), Hypertension, Hyperlipidemia, Type 2
Diabetes .
---
### Subjective Data (History of Present Illness)
Kevin Dale reports a **three-week history** of progressive dyspnea, now occurring with minimal
exertion such as walking short distances or climbing stairs . He describes persistent fatigue and
decreased ability to perform daily tasks.
- **Onset:** Insidious, gradually worsening over 3 weeks .
- **Quality:** Shortness of breath is primarily exertional; fatigue is constant.
- **Associated Symptoms:** Reports occasional chest tightness, palpitations, mild bilateral ankle
swelling, and a nocturnal cough . He notes orthopnea (worse lying flat) relieved by sitting upright.
- **Denies:** Acute chest pain, fever, hemoptysis, or recent illness .
