NRNP 6560 WEEK 9 I-HUMAN CASE
STUDY: 48-YEAR-OLD FEMALE WITH
ABDOMINAL PAIN – COMPLETE SOAP
NOTE, HPI Q&A, DIFFERENTIAL
DIAGNOSIS, LABS, IMAGING & EVIDENCE-
BASED TREATMENT PLAN (2026)
,NRNP 6560 – Week 9 i-Human Case Study
Abdominal Pain in a 48-Year-Old Female
Case Introduction
This i-Human case study involves a 48-year-old female who presents to an
outpatient primary care clinic with a chief complaint of worsening abdominal
pain. The patient reports a three-day history of right upper quadrant abdominal
pain that has progressively intensified and is associated with nausea, vomiting,
decreased appetite, and subjective fever. The pain is exacerbated by fatty meals
and radiates to the right shoulder and upper back, raising concern for a
hepatobiliary etiology.
The purpose of this case is to demonstrate advanced clinical assessment skills
through a focused history, comprehensive physical examination, development of
appropriate differential diagnoses, and formulation of an evidence-based
diagnostic and management plan. This case emphasizes the importance of
systematic evaluation of abdominal pain in adult patients to accurately identify
potentially acute conditions requiring timely intervention.
Setting: Outpatient Primary Care Clinic
Patient Biodata
• Age: 48 years
• Gender: Female
• Ethnicity/Race: Not specified
• Marital Status: Married
, • Occupation: Not specified
• Source of History: Patient (reliable historian)
• Language: English
• Insurance Status: Not specified
Clinical Setting
• Outpatient Primary Care Clinic
Chief Complaint
• “I have had worsening abdominal pain for the past three days.”
Relevant Health Background
• Past Medical History: Hypertension, Hyperlipidemia
• Past Surgical History: Cesarean section ×1
• Current Medications:
o Lisinopril 10 mg PO daily
o Atorvastatin 20 mg PO nightly
• Allergies: No known drug allergies (NKDA)
Social History Highlights
• Non-smoker
• Occasional alcohol use
• Denies illicit drug use
Chief Complaint (CC)
STUDY: 48-YEAR-OLD FEMALE WITH
ABDOMINAL PAIN – COMPLETE SOAP
NOTE, HPI Q&A, DIFFERENTIAL
DIAGNOSIS, LABS, IMAGING & EVIDENCE-
BASED TREATMENT PLAN (2026)
,NRNP 6560 – Week 9 i-Human Case Study
Abdominal Pain in a 48-Year-Old Female
Case Introduction
This i-Human case study involves a 48-year-old female who presents to an
outpatient primary care clinic with a chief complaint of worsening abdominal
pain. The patient reports a three-day history of right upper quadrant abdominal
pain that has progressively intensified and is associated with nausea, vomiting,
decreased appetite, and subjective fever. The pain is exacerbated by fatty meals
and radiates to the right shoulder and upper back, raising concern for a
hepatobiliary etiology.
The purpose of this case is to demonstrate advanced clinical assessment skills
through a focused history, comprehensive physical examination, development of
appropriate differential diagnoses, and formulation of an evidence-based
diagnostic and management plan. This case emphasizes the importance of
systematic evaluation of abdominal pain in adult patients to accurately identify
potentially acute conditions requiring timely intervention.
Setting: Outpatient Primary Care Clinic
Patient Biodata
• Age: 48 years
• Gender: Female
• Ethnicity/Race: Not specified
• Marital Status: Married
, • Occupation: Not specified
• Source of History: Patient (reliable historian)
• Language: English
• Insurance Status: Not specified
Clinical Setting
• Outpatient Primary Care Clinic
Chief Complaint
• “I have had worsening abdominal pain for the past three days.”
Relevant Health Background
• Past Medical History: Hypertension, Hyperlipidemia
• Past Surgical History: Cesarean section ×1
• Current Medications:
o Lisinopril 10 mg PO daily
o Atorvastatin 20 mg PO nightly
• Allergies: No known drug allergies (NKDA)
Social History Highlights
• Non-smoker
• Occasional alcohol use
• Denies illicit drug use
Chief Complaint (CC)
