Title: Week 2 iHuman Case Study – UTI Symptoms & Assessment | Juliana Mirabelles | Primary
Care of the Childbearing & Childrearing Family | Chamberlain University | Complete Case
Walkthrough with Problem Statement, Differential Diagnoses, Diagnostic Tests & Clinical Pearls
Tags: iHuman Week 2 UTI Urinary Tract Infection Vaginal Discharge Gonorrhea Chlamydia
Trichomoniasis Cervicitis STI STD Dysuria Primary Care Childbearing Family Chamberlain
University Nursing NP Case Study Differential Diagnosis SOAP Note Women's Health OB/GYN
Neisseria Gonorrhoeae Mucopurulent Discharge Exam Prep Verified Answers
Document Info
Field Detail
Course Primary Care of the Childbearing & Childrearing Family
Institution Chamberlain University
Week Week 2 – iHuman Case Study, Attempt 1
Patient Juliana Mirabelles | 135.0 lb (61.4 kg) | 5'5" (165 cm)
Case Author E. Allison Lyons, MD
Chief Complaint Burning with urination, vaginal discharge, concern for bladder infection
Final Diagnosis Gonorrhea (Neisseria gonorrhoeae) / Trichomoniasis
Type iHuman Virtual Case Study – Full Walkthrough
Patient Vitals
Parameter Value
Temperature 37.1°C (98.7°F) – oral
Blood Pressure Left: 116/64 | Right: 118/66 – Normal
Pulse 66 bpm – Regular, normal strength
, Respirations 12 bpm – Regular, unlabored
SpO₂ 99%
Weight 135.0 lb (61.4 kg)
Height 5'5" (165 cm)
Cognitive Status Alert and Oriented ×4
History of Present Illness (HPI) – Patient Interview
Q1. Chief Complaint: Burning when urinating; worried about another bladder infection;
symptoms feel "a little different" than her last UTI.
Q2. Other symptoms: Vaginal discharge present.
Q3. Allergies: NKDA (No Known Drug Allergies).
Q4. Immunizations: Patient believes she is up to date.
Q5. Onset of dysuria: Three days ago.
Q6. Severity of pain: Pain severe enough that it makes her not want to urinate despite the urge.
Q7. Prior similar episodes: Yes — had a bladder infection last year, but states "this seems
different."
Q8. Vaginal discharge characteristics: Yellow, mucousy/creamy in texture, not particularly
malodorous.
Q9. Pain with intercourse: Has not had intercourse since symptoms began. Reports
unprotected sex regarding STIs (uses birth control pill only).
Q10. STI precautions: Uses oral contraceptive pill only — no barrier protection for STI
prevention.
Q11. Number of sexual partners: More than one; heterosexual.
Q12. Prior STIs: None known.
Q13. Vaginal discomfort or itching: Denies.
Q14. Prior vaginal discharge: Has had yeast infections before but states this discharge is
different.
Q15. Aggravating/relieving factors: Soaking in a warm bath provides some relief.
Q16. Timing of dysuria: Worse at the start of urination but does not let up throughout.
Q17. Last menstrual period (LMP): Approximately 2½ weeks ago.
Care of the Childbearing & Childrearing Family | Chamberlain University | Complete Case
Walkthrough with Problem Statement, Differential Diagnoses, Diagnostic Tests & Clinical Pearls
Tags: iHuman Week 2 UTI Urinary Tract Infection Vaginal Discharge Gonorrhea Chlamydia
Trichomoniasis Cervicitis STI STD Dysuria Primary Care Childbearing Family Chamberlain
University Nursing NP Case Study Differential Diagnosis SOAP Note Women's Health OB/GYN
Neisseria Gonorrhoeae Mucopurulent Discharge Exam Prep Verified Answers
Document Info
Field Detail
Course Primary Care of the Childbearing & Childrearing Family
Institution Chamberlain University
Week Week 2 – iHuman Case Study, Attempt 1
Patient Juliana Mirabelles | 135.0 lb (61.4 kg) | 5'5" (165 cm)
Case Author E. Allison Lyons, MD
Chief Complaint Burning with urination, vaginal discharge, concern for bladder infection
Final Diagnosis Gonorrhea (Neisseria gonorrhoeae) / Trichomoniasis
Type iHuman Virtual Case Study – Full Walkthrough
Patient Vitals
Parameter Value
Temperature 37.1°C (98.7°F) – oral
Blood Pressure Left: 116/64 | Right: 118/66 – Normal
Pulse 66 bpm – Regular, normal strength
, Respirations 12 bpm – Regular, unlabored
SpO₂ 99%
Weight 135.0 lb (61.4 kg)
Height 5'5" (165 cm)
Cognitive Status Alert and Oriented ×4
History of Present Illness (HPI) – Patient Interview
Q1. Chief Complaint: Burning when urinating; worried about another bladder infection;
symptoms feel "a little different" than her last UTI.
Q2. Other symptoms: Vaginal discharge present.
Q3. Allergies: NKDA (No Known Drug Allergies).
Q4. Immunizations: Patient believes she is up to date.
Q5. Onset of dysuria: Three days ago.
Q6. Severity of pain: Pain severe enough that it makes her not want to urinate despite the urge.
Q7. Prior similar episodes: Yes — had a bladder infection last year, but states "this seems
different."
Q8. Vaginal discharge characteristics: Yellow, mucousy/creamy in texture, not particularly
malodorous.
Q9. Pain with intercourse: Has not had intercourse since symptoms began. Reports
unprotected sex regarding STIs (uses birth control pill only).
Q10. STI precautions: Uses oral contraceptive pill only — no barrier protection for STI
prevention.
Q11. Number of sexual partners: More than one; heterosexual.
Q12. Prior STIs: None known.
Q13. Vaginal discomfort or itching: Denies.
Q14. Prior vaginal discharge: Has had yeast infections before but states this discharge is
different.
Q15. Aggravating/relieving factors: Soaking in a warm bath provides some relief.
Q16. Timing of dysuria: Worse at the start of urination but does not let up throughout.
Q17. Last menstrual period (LMP): Approximately 2½ weeks ago.
