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Exam (elaborations)

i-Human Virtual Patient Case Study: Frances Drake-Chamberlain (Dizziness Case)

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: A graduate-level advanced clinical documentation and simulation answer guide mapping out the full clinical workflow for a 68-year-old female patient presenting with acute dizziness. The document functions as an exhaustive clinical blueprint, containing a complete History of Present Illness (HPI), fully structured Subjective, Objective, Assessment, and Plan (SOAP) documentation, prioritized differential diagnoses (DDx), test interpretation sequences, and an evidence-based medical treatment plan.

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iHuman Case Study Frances
DrakeChamberlain Dizziness Encounter

,iHuman Case Study Frances
DrakeChamberlain Dizziness Encounter

, iHuman Case Study Frances
DrakeChamberlain Dizziness Encounter
1. iHuman Key History Questions (Subjective)
Select these specific questions in the history tab to achieve a 100% attribute score:
• Chief Complaint Related:
o "Can you describe your dizziness?" (Verifies vertigo/spinning vs.
lightheadedness). o "How long does each episode of dizziness last?"
(Confirms < 1 minute duration). o "What changes or triggers your dizziness?"
(Identifies positional changes, turning in bed).
• Associated Symptoms:
o "Do you experience nausea or vomiting with the dizziness?" (Identifies
mild nausea). o "Have you noticed any hearing loss, ringing in your ears
(tinnitus), or fullness?" (Rules out Ménière's).
• Neurological Screening:
o "Do you have any weakness, numbness, or tingling?" (Rules out central
stroke). o "Have you had any difficulty speaking, swallowing, or
coordinating your movements?" (Rules out brainstem pathology).
o "Have you fainted or lost consciousness?" (Rules out syncope).
• Medical History:
o "What medications are you currently taking?" (Identifies Lisinopril). o
"Have you had a recent cold, viral infection, or head injury?" (Rules out
vestibular neuritis/trauma).




2. Physical Examination Checklist (Objective)

Perform these physical exams in the simulation. Select and document these specific
body systems:
• Vitals: Select Complete Vitals (BP sitting/standing to document lack of
orthostatic changes).
• ENT: o Inspect external auditory canals and tympanic membranes (Document:
Normal, bilaterally clear).
• Eyes:
o Assess pupillary reaction and extraocular movements (EOM intact).
• Neurological:

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Uploaded on
June 3, 2026
Number of pages
18
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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