IHUMAN CASE STUDY FOR TAMIKA BRAYTON, REASON
FOR ENCOUNTER; FLANK PAIN BY A 33 YEARS OLD
FEMALE, OUTPATIENT|| LATEST AND COMPLETE CASE
STUDY 2024-2025 WITH A GUARANTEED A+
Name: Tamika Brayton
Age: 33 years’ old
Chief Complaint: Flank pain
Setting: Outpatient
Tamika Brayton is a 33 years old female that presents with 2 days constituent deep aching flank
pain that started out mild as she awaked and was severe by the afternoon. The pain is 8/10 in the
general region of the 12th rib on the right side posteriorly, nausea began after breakfast 2days ago and
she has
vomited 3X’s. she has loss of appetent.
,2|Pag e
Questions
- How can I help you today?
- Do you have any other symptoms or concerns we should discuss?
- When did your flank pain start?
- Does anything make your flank pain better or worse?
- What does your flank pain feel like?
- How sever (1-10) is your flank pain?
- Are you taking any medications for your symptoms?
- Where more precisely is your flank pain?
- Any change in your flank pain since it began?
- Has there been a change in your urination frequency?
- Does your flank pain radiate someplace else? Where??
- Does your flank pain come and go?
- Are you sexually active?
- Is your urine pink or red in color?
- Tell me about the health of your grandparents, parents …?
- Do you have any allergies?
- Are your immunizations up to date?
- Are you taking any prescription medications?
- Are you taking any over-the-counter or herbal medications?
- Is your period late?
- When did your last period begin?
- When did your fever start?
- How high is your fever?
- Do you have pain/ discomfort when you urinate?
, 3|Pag e
- Are you having any problems with your periods?
- Can you tell me about any current or past medical problems...?
- Any previous medical, surgical...?
- Have you ever had abdominal surgery?
- When you urinate, have you noticed any pain, burning...?
- Do you have any problems with fatigue, difficulty sleeping....?
- Do you have any problems with an itchy scalp, skin changes...?
- Do you have any problems with headaches that don’t go away with
aspirin...?
- Have you noticed any breast discharge, lumps....?
- Do you experience chest pain discomfort or pressure...?
- Do you experience shortness of breath, wheezing, difficulty catching your
breath....?
- Do you have problems with nausea, vomiting, constipation...?
- Do you have problems with muscle or join pain, redness...?
- Have you noticed any bruising, bleeding gums...?
- Do you have problems with heat or cold intolerance, increased thirst...?
- Do you have problems with dizziness, fainting, spinning room...?
Key findings
1. Recurrent bladder infections
2. Flank pain
3. Nausea/ vomiting
4. Fever 5.
Tachycardia
: Physical Exam
- Fever, tachycardia, right CVA tenderness to percussion