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Brianna Gill, a 28-Year-Old Female with Acute Dysuria,
Urinary Frequency, and Suprapubic Pain: A
Comprehensive i-Human Case Study Covering History,
Physical Exam, Diagnostics, Differential Diagnosis, and
Evidence-Based Treatment Plan for Uncomplicated
Cystitis
BRIANNA GILL – i-HUMAN CASE STUDY: FULL
SAMPLE WRITE-UP
IDENTIFICATION & CHIEF COMPLAINT
• Name: Brianna Gill
• Age/Sex: 28-year-old Caucasian female
• Occupation: Elementary school teacher
• Source: Self (patient presents to outpatient
primary care clinic)
• Reliability: Reliable and cooperative
• Chief Complaint (CC): "It burns when I pee and I
have to go all the time. It started a couple of
days ago."
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HISTORY OF PRESENTING ILLNESS (HPI) –
COMPLETE OLD CARTS
Onset: Symptoms began approximately 2 to 3 days
ago. The patient reports that the discomfort started
mildly but has progressively worsened each day.
Location: The pain is localized to the urethral area
and suprapubic region (lower abdomen, just above
the pubic bone). She denies any flank, back, or
vaginal pain.
Duration: The burning sensation occurs primarily
during urination and lingers for 2-3 minutes after
voiding. She feels a constant urge to urinate,
needing to void every 30 to 60 minutes during the
day and 2-3 times at night (nocturia). Each void
produces only small amounts of urine.
Character: The patient describes the pain as a
"sharp, burning, glass-like" sensation that is most
intense at the end of the urinary stream. She also
, 4
reports a feeling of suprapubic heaviness or
pressure.
Aggravating Factors:
• Urination (especially at the end of the stream)
• Drinking coffee, soda, or caffeinated beverages
• Prolonged periods without voiding
• Sexual intercourse (mild discomfort, though she
has avoided it recently)
Relieving Factors:
• Drinking more water (dilutes urine and slightly
reduces burning)
• Applying a heating pad to her lower abdomen
• Taking over-the-counter AZO (phenazopyridine)
– provides temporary relief but does not
eliminate symptoms
Timing: Symptoms are persistent throughout the
day. She reports that her urine appears cloudy and
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Brianna Gill, a 28-Year-Old Female with Acute Dysuria,
Urinary Frequency, and Suprapubic Pain: A
Comprehensive i-Human Case Study Covering History,
Physical Exam, Diagnostics, Differential Diagnosis, and
Evidence-Based Treatment Plan for Uncomplicated
Cystitis
BRIANNA GILL – i-HUMAN CASE STUDY: FULL
SAMPLE WRITE-UP
IDENTIFICATION & CHIEF COMPLAINT
• Name: Brianna Gill
• Age/Sex: 28-year-old Caucasian female
• Occupation: Elementary school teacher
• Source: Self (patient presents to outpatient
primary care clinic)
• Reliability: Reliable and cooperative
• Chief Complaint (CC): "It burns when I pee and I
have to go all the time. It started a couple of
days ago."
,3
HISTORY OF PRESENTING ILLNESS (HPI) –
COMPLETE OLD CARTS
Onset: Symptoms began approximately 2 to 3 days
ago. The patient reports that the discomfort started
mildly but has progressively worsened each day.
Location: The pain is localized to the urethral area
and suprapubic region (lower abdomen, just above
the pubic bone). She denies any flank, back, or
vaginal pain.
Duration: The burning sensation occurs primarily
during urination and lingers for 2-3 minutes after
voiding. She feels a constant urge to urinate,
needing to void every 30 to 60 minutes during the
day and 2-3 times at night (nocturia). Each void
produces only small amounts of urine.
Character: The patient describes the pain as a
"sharp, burning, glass-like" sensation that is most
intense at the end of the urinary stream. She also
, 4
reports a feeling of suprapubic heaviness or
pressure.
Aggravating Factors:
• Urination (especially at the end of the stream)
• Drinking coffee, soda, or caffeinated beverages
• Prolonged periods without voiding
• Sexual intercourse (mild discomfort, though she
has avoided it recently)
Relieving Factors:
• Drinking more water (dilutes urine and slightly
reduces burning)
• Applying a heating pad to her lower abdomen
• Taking over-the-counter AZO (phenazopyridine)
– provides temporary relief but does not
eliminate symptoms
Timing: Symptoms are persistent throughout the
day. She reports that her urine appears cloudy and
