James T. Morrison #MRN: IH-6550-01
Male, 62 y/o DOB: 02/18/1964 BMI 29.1 English / retired teacher
Former smoker
Chief Complaint: “Doc, I’m peeing all the time – day and
night. It’s ruining my life.”
Clinical Analytics Assessment Expert
Encounter & Plan Review
VITALS & KEY PE
BP: 138/86 mmHg
HR: 72 bpm
BMI: 29.1 (overweight)
DRE prostate: 45-50g, rubbery, no nodules
PVR (bladder scan): 140 mL ↑
IPSS score: 22/35 (severe)
PRIORITY LABS
, PSA total: 2.9 ng/mL
Free PSA %: 28% (benign)
Urinalysis: Neg infection, neg glucose
Qmax (uroflow): 9 mL/s (obstructed)
Creatinine: 0.9 mg/dL
TOP DIFFERENTIALS
1. BPH with BOO (most likely)
2. Prostate cancer (low risk)
3. Overactive bladder (mixed)
4. UTI / DM (excluded)
5. Urethral stricture (unlikely)
RISK CALCULATORS
PCPT prostate Ca risk: 12.4% (low)
AUA BPH progression: Moderate
Ultra‑Detailed iHuman Case | Class 6550 – Week 10 | Full HPI, exhaustive ROS, com
diagnostics, pathophys, pharmacology, algorithms, and expert review (simulated 20+ pa
History of Present Illness (HPI) –
Expanded
Mr. Morrison is a 62-year-old white male presenting with an 8‑month histo
progressive lower urinary tract symptoms (LUTS). He reports voiding ever
hours during the day and waking up 5–6 times per night. “I can’t sleep mo
Male, 62 y/o DOB: 02/18/1964 BMI 29.1 English / retired teacher
Former smoker
Chief Complaint: “Doc, I’m peeing all the time – day and
night. It’s ruining my life.”
Clinical Analytics Assessment Expert
Encounter & Plan Review
VITALS & KEY PE
BP: 138/86 mmHg
HR: 72 bpm
BMI: 29.1 (overweight)
DRE prostate: 45-50g, rubbery, no nodules
PVR (bladder scan): 140 mL ↑
IPSS score: 22/35 (severe)
PRIORITY LABS
, PSA total: 2.9 ng/mL
Free PSA %: 28% (benign)
Urinalysis: Neg infection, neg glucose
Qmax (uroflow): 9 mL/s (obstructed)
Creatinine: 0.9 mg/dL
TOP DIFFERENTIALS
1. BPH with BOO (most likely)
2. Prostate cancer (low risk)
3. Overactive bladder (mixed)
4. UTI / DM (excluded)
5. Urethral stricture (unlikely)
RISK CALCULATORS
PCPT prostate Ca risk: 12.4% (low)
AUA BPH progression: Moderate
Ultra‑Detailed iHuman Case | Class 6550 – Week 10 | Full HPI, exhaustive ROS, com
diagnostics, pathophys, pharmacology, algorithms, and expert review (simulated 20+ pa
History of Present Illness (HPI) –
Expanded
Mr. Morrison is a 62-year-old white male presenting with an 8‑month histo
progressive lower urinary tract symptoms (LUTS). He reports voiding ever
hours during the day and waking up 5–6 times per night. “I can’t sleep mo
