A+ GUIDE CASE STUDY
100% PASS A+
1|Page
“Back Pain in Older Adults (66-Year-Old Female) I-
Human Case Study – SOAP Notes, Clinical
Reasoning & Pathophysiology”
Patient: Margaret Collins
Age / Sex: 66 years old / Female
Chief Complaint: Back pain
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
,A+ GUIDE CASE STUDY
Height / Weight: 5' 1" (155 cm) / 165.0 lb (74.8
kg) | BMI: 31.2
Case Week: i-Human Case Week #9
Setting: Primary Care Clinic
Case Author: i-Human Patients Academic Team
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
,A+ GUIDE CASE STUDY
2|Page
HISTORY FEEDBACK — PERFORMED VS.
MISSED QUESTIONS
Ask relevant problem-focused questions to create an
accurate initial differential diagnosis list. Various
questions may yield the same information. Examples
of high-yield questions for this case include:
● Performed ✗ Missed
●/✗ Category Question Patient Response
● HPI How can I My back really
help you hurts.
today?
● HPI Do you have Yes — the pain
any other makes it hard to
symptoms or sleep and gets worse
concerns we when I am walking.
should But otherwise,
discuss? nothing else.
● HPI What are the I was rearranging
events heavy tables at the
surrounding restaurant where I
the start of work. I do it all the
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
, A+ GUIDE CASE STUDY
your back time but this time I
pain? must have moved
them wrong.
● HPI When did the Four days ago.
pain in your
back start?
● HPI How long I hope it won't last
does your long. This is
back pain horrible!
last?
● HPI What does Sharp.
the pain in
your back
feel like?
● HPI How severe About 7.
(1–10 scale)
is the pain in
your back?
● HPI Where more It's in my lower
precisely is back. It starts right
the pain in here (puts the palm
your back? of her hand on her
lower back).
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
100% PASS A+
1|Page
“Back Pain in Older Adults (66-Year-Old Female) I-
Human Case Study – SOAP Notes, Clinical
Reasoning & Pathophysiology”
Patient: Margaret Collins
Age / Sex: 66 years old / Female
Chief Complaint: Back pain
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
,A+ GUIDE CASE STUDY
Height / Weight: 5' 1" (155 cm) / 165.0 lb (74.8
kg) | BMI: 31.2
Case Week: i-Human Case Week #9
Setting: Primary Care Clinic
Case Author: i-Human Patients Academic Team
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
,A+ GUIDE CASE STUDY
2|Page
HISTORY FEEDBACK — PERFORMED VS.
MISSED QUESTIONS
Ask relevant problem-focused questions to create an
accurate initial differential diagnosis list. Various
questions may yield the same information. Examples
of high-yield questions for this case include:
● Performed ✗ Missed
●/✗ Category Question Patient Response
● HPI How can I My back really
help you hurts.
today?
● HPI Do you have Yes — the pain
any other makes it hard to
symptoms or sleep and gets worse
concerns we when I am walking.
should But otherwise,
discuss? nothing else.
● HPI What are the I was rearranging
events heavy tables at the
surrounding restaurant where I
the start of work. I do it all the
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
, A+ GUIDE CASE STUDY
your back time but this time I
pain? must have moved
them wrong.
● HPI When did the Four days ago.
pain in your
back start?
● HPI How long I hope it won't last
does your long. This is
back pain horrible!
last?
● HPI What does Sharp.
the pain in
your back
feel like?
● HPI How severe About 7.
(1–10 scale)
is the pain in
your back?
● HPI Where more It's in my lower
precisely is back. It starts right
the pain in here (puts the palm
your back? of her hand on her
lower back).
i-Human Patients Academic Team | Full Case Study Including Pathophysiology, Reasoning, and Broader Implications | For Educational Use
