2025/2026 Edition: Comprehensive
iHuman Case Study – 62-Year-Old
Male with Frequent Urination
(Advanced Practice Care of Adults) |
Master Clinical Reasoning for a First-
Attempt Pass and N
,Based on the 2025/2026 i-Human case study for Week 10 (Class 6550), here is the comprehensive SOAP
note and management guide for a **62-year-old male** presenting with the chief complaint **"I'm
peeing all the time"** .
---
## 📋 Case Overview
| Category | Details |
| :--- | :--- |
| **Patient** | 62-year-old male (Name varies) |
| **Height/Weight** | 5'10"–6'1" (178–185 cm) / 198–210 lbs (90–95 kg) |
| **BMI** | ~31.5 kg/m² (Obese Class I) |
| **Occupation** | Truck driver / Office worker (sedentary lifestyle) |
| **Setting** | Outpatient clinic (X-ray, ECG, laboratory available) |
| **Chief Complaint** | *"I'm peeing all the time"* / *"I just can't stop going to the bathroom"* |
| **Primary Diagnosis** | **Benign Prostatic Hyperplasia (BPH) with Lower Urinary Tract Symptoms
(LUTS)** |
| **Key Rule-Outs** | Type 2 Diabetes Mellitus, Urinary Tract Infection, Overactive Bladder, Prostate
Cancer |
| **Course** | NURS 6550 / NURS 6512 / Class 6531 (Week 10) |
, ---
## 📝 Comprehensive SOAP Note
### S – SUBJECTIVE
**Chief Complaint (CC) – In Patient's Own Words:**
*"I'm peeing all the time. I can't seem to stop going to the bathroom, and it's getting worse."*
**History of Present Illness (HPI):**
The patient is a 62-year-old male who presents with progressive lower urinary tract symptoms (LUTS)
over the past **6 weeks to several months** . The symptoms have been gradually worsening and are
significantly affecting his quality of life, particularly sleep.
**Specific Urinary Symptom Profile:**
| Feature | Finding |
| :--- | :--- |
| **Onset & Duration** | 6 weeks to several months; gradual, progressive worsening |
| **Daytime Frequency** | Urinating **every 1-2 hours** during the day |
| **Nocturia** | Waking **3-4 times per night** to urinate (primary sleep disruptor) |
| **Urgency** | Frequent, sudden need to urinate |
| **Hesitancy** | Difficulty starting urination; noticeable delay |
| **Weak Stream** | Urine stream is weak and sometimes interrupted |
| **Dribbling** | Post-void dribbling reported |
iHuman Case Study – 62-Year-Old
Male with Frequent Urination
(Advanced Practice Care of Adults) |
Master Clinical Reasoning for a First-
Attempt Pass and N
,Based on the 2025/2026 i-Human case study for Week 10 (Class 6550), here is the comprehensive SOAP
note and management guide for a **62-year-old male** presenting with the chief complaint **"I'm
peeing all the time"** .
---
## 📋 Case Overview
| Category | Details |
| :--- | :--- |
| **Patient** | 62-year-old male (Name varies) |
| **Height/Weight** | 5'10"–6'1" (178–185 cm) / 198–210 lbs (90–95 kg) |
| **BMI** | ~31.5 kg/m² (Obese Class I) |
| **Occupation** | Truck driver / Office worker (sedentary lifestyle) |
| **Setting** | Outpatient clinic (X-ray, ECG, laboratory available) |
| **Chief Complaint** | *"I'm peeing all the time"* / *"I just can't stop going to the bathroom"* |
| **Primary Diagnosis** | **Benign Prostatic Hyperplasia (BPH) with Lower Urinary Tract Symptoms
(LUTS)** |
| **Key Rule-Outs** | Type 2 Diabetes Mellitus, Urinary Tract Infection, Overactive Bladder, Prostate
Cancer |
| **Course** | NURS 6550 / NURS 6512 / Class 6531 (Week 10) |
, ---
## 📝 Comprehensive SOAP Note
### S – SUBJECTIVE
**Chief Complaint (CC) – In Patient's Own Words:**
*"I'm peeing all the time. I can't seem to stop going to the bathroom, and it's getting worse."*
**History of Present Illness (HPI):**
The patient is a 62-year-old male who presents with progressive lower urinary tract symptoms (LUTS)
over the past **6 weeks to several months** . The symptoms have been gradually worsening and are
significantly affecting his quality of life, particularly sleep.
**Specific Urinary Symptom Profile:**
| Feature | Finding |
| :--- | :--- |
| **Onset & Duration** | 6 weeks to several months; gradual, progressive worsening |
| **Daytime Frequency** | Urinating **every 1-2 hours** during the day |
| **Nocturia** | Waking **3-4 times per night** to urinate (primary sleep disruptor) |
| **Urgency** | Frequent, sudden need to urinate |
| **Hesitancy** | Difficulty starting urination; noticeable delay |
| **Weak Stream** | Urine stream is weak and sometimes interrupted |
| **Dribbling** | Post-void dribbling reported |
