iHuman Case Study Cynthia Francis 2026: Complete
Clinical Assessment Guide | History Taking
EXAM
## 1. Patient & Chief Complaint
- **Name:** Cynthia Francis
- **Age:** 56 years old
- **Gender:** Female
- **Ethnicity:** African American
- **BMI:** ~31.4 kg/m² (Obese Class I)
- **Chief Complaint (Exact Phrase):** *"I'm here to get my blood
pressure checked. The nurses at the health fair said it was too high."*
## 2. History of Present Illness (HPI)
**The Setup:** Three weeks ago, Cynthia attended a workplace health
fair. A kiosk reading showed her BP was elevated (approx 132/74 or
, higher depending on the simulation version). She recently moved (5
months ago) and has not established a PCP. She is here for a recheck .
### Use "OLDCARTS" for the HPI Section:
- **Onset:** Noticed incidentally 3 weeks ago at a health fair.
- **Location:** Systemic (blood pressure), though she notes occasional
dull headaches at the back of her head in the evenings.
- **Duration:** Persistent readings; she has not checked it at home.
- **Character:** Asymptomatic regarding chest pain. Denies
palpitations or shortness of breath.
- **Aggravating:** High-salt diet, sedentary lifestyle.
- **Relieving:** Rest (for headaches).
- **Timing:** Evening headaches resolve by morning.
- **Severity:** Asymptomatic from a physical sensation standpoint, but
anxious about the diagnosis.
## 3. Past Medical, Family, Social History (PMSHx)
*You must ask these specific questions to unlock points.*
**Past Medical History (PMH):**
- Hypothyroidism (diagnosed ~8 years ago).
- Obesity.
- Dysmenorrhea (history of heavy periods; currently perimenopausal).
Clinical Assessment Guide | History Taking
EXAM
## 1. Patient & Chief Complaint
- **Name:** Cynthia Francis
- **Age:** 56 years old
- **Gender:** Female
- **Ethnicity:** African American
- **BMI:** ~31.4 kg/m² (Obese Class I)
- **Chief Complaint (Exact Phrase):** *"I'm here to get my blood
pressure checked. The nurses at the health fair said it was too high."*
## 2. History of Present Illness (HPI)
**The Setup:** Three weeks ago, Cynthia attended a workplace health
fair. A kiosk reading showed her BP was elevated (approx 132/74 or
, higher depending on the simulation version). She recently moved (5
months ago) and has not established a PCP. She is here for a recheck .
### Use "OLDCARTS" for the HPI Section:
- **Onset:** Noticed incidentally 3 weeks ago at a health fair.
- **Location:** Systemic (blood pressure), though she notes occasional
dull headaches at the back of her head in the evenings.
- **Duration:** Persistent readings; she has not checked it at home.
- **Character:** Asymptomatic regarding chest pain. Denies
palpitations or shortness of breath.
- **Aggravating:** High-salt diet, sedentary lifestyle.
- **Relieving:** Rest (for headaches).
- **Timing:** Evening headaches resolve by morning.
- **Severity:** Asymptomatic from a physical sensation standpoint, but
anxious about the diagnosis.
## 3. Past Medical, Family, Social History (PMSHx)
*You must ask these specific questions to unlock points.*
**Past Medical History (PMH):**
- Hypothyroidism (diagnosed ~8 years ago).
- Obesity.
- Dysmenorrhea (history of heavy periods; currently perimenopausal).
