i-Human Case Study: Rebecca Fields – 23-
Year-Old Female with Fever and Sore
Throat | Complete Comprehensive
Submission Guide .
**Demographics:** 23-year-old female
,**Height/Weight:** 5’7” (170 cm), 120 lbs (54.4 kg)
**Chief Complaint:** “I have a really bad sore throat and fever.”
## 1. History of Present Illness (HPI)
**Using OLDCARTS Format**:
| Component | Finding |
| :--- | :--- |
| **Onset** | Started suddenly 2 days ago |
| **Location** | Throat, bilateral neck (glands) |
| **Duration** | 2 days, progressively worsening |
| **Character** | “Like an ice pick in there” — sharp, constant pain |
| **Aggravating** | Swallowing (painful), touching neck |
| **Relieving** | Acetaminophen (temporary), ice cream |
| **Timing** | Constant, no remissions |
| **Severity** | 11/10 (“worst I’ve had in my life”) |
### Additional HPI Questions (Required for i-Human):
**Fever:**
- Onset: 2 days ago
, - Max temperature: 101.8°F last night
- Relieving factors: Acetaminophen brings it down temporarily
- Chills: Present (not shaking chills)
**Headache:**
- Onset: 2 days ago
- Character: Dull, mild, associated with fever
- Relieving factors: Acetaminophen helps somewhat
**Swollen Glands (Lymphadenopathy):**
- Onset: 2 days ago
- Location: Both sides of neck
- Character: Very tender to touch
**Environmental/Social:**
- Sick contacts: Roommate had sore throat earlier in the week
- Travel: None
- Exposure: No secondhand smoke
**Constitutional:**
- Fatigue: Present, kept her out of work for 3 days
- Appetite: Decreased due to pain
Year-Old Female with Fever and Sore
Throat | Complete Comprehensive
Submission Guide .
**Demographics:** 23-year-old female
,**Height/Weight:** 5’7” (170 cm), 120 lbs (54.4 kg)
**Chief Complaint:** “I have a really bad sore throat and fever.”
## 1. History of Present Illness (HPI)
**Using OLDCARTS Format**:
| Component | Finding |
| :--- | :--- |
| **Onset** | Started suddenly 2 days ago |
| **Location** | Throat, bilateral neck (glands) |
| **Duration** | 2 days, progressively worsening |
| **Character** | “Like an ice pick in there” — sharp, constant pain |
| **Aggravating** | Swallowing (painful), touching neck |
| **Relieving** | Acetaminophen (temporary), ice cream |
| **Timing** | Constant, no remissions |
| **Severity** | 11/10 (“worst I’ve had in my life”) |
### Additional HPI Questions (Required for i-Human):
**Fever:**
- Onset: 2 days ago
, - Max temperature: 101.8°F last night
- Relieving factors: Acetaminophen brings it down temporarily
- Chills: Present (not shaking chills)
**Headache:**
- Onset: 2 days ago
- Character: Dull, mild, associated with fever
- Relieving factors: Acetaminophen helps somewhat
**Swollen Glands (Lymphadenopathy):**
- Onset: 2 days ago
- Location: Both sides of neck
- Character: Very tender to touch
**Environmental/Social:**
- Sick contacts: Roommate had sore throat earlier in the week
- Travel: None
- Exposure: No secondhand smoke
**Constitutional:**
- Fatigue: Present, kept her out of work for 3 days
- Appetite: Decreased due to pain
