i-Human Case Study Week 7
(Zulkumor Murat) Nausea & Fatigue
2026 A+ Graded Exam Update
Patient: Zulkumor Murat
Age: 65 years
Sex: Male
Setting: Emergency Department (full labs and imaging available)
Chief Complaint: Nausea and fatigue
Overview of Presenting Problem
Zulkumor Murat is a 65-year-old male presenting with several days of
progressive nausea and generalized fatigue. His symptoms are accompanied by
i-Human Case – Week 7 dark urine, pruritus, and visible jaundice, which raise immediate concern for
hepatic dysfunction. The absence of abdominal pain, fever, vomiting, alcohol use,
or recent medication changes helps narrow the clinical focus away from infectious
GI illness or alcohol-related disease.
i-Human Case – Week 7
Patient: Zulkumor Murat
Age: 65 years
Sex: Male
Height: 5’8” (173 cm)
Weight: 204 lb (92.5 kg)
BMI: ~31 (Obese Class I)
Setting: Emergency Department (full imaging & labs available)
Chief Complaint: Nausea and fatigue
1️ Chief Complaint (CC)
“I’ve been feeling nauseous and extremely tired.”
, 2️ History of Present Illness (HPI)
Zulkumor Murat is a 65-year-old male who presents with 4 days of worsening nausea and
generalized fatigue. Symptoms began gradually and have progressed. He reports poor appetite,
dark-colored urine, and yellowing of the eyes noticed by family. He denies vomiting, diarrhea,
abdominal trauma, chest pain, dyspnea, fever, or chills. No recent travel. No alcohol use. No IV
drug use. No new medications or supplements.
3️ Past Medical History
Hypertension
Type 2 Diabetes Mellitus
Hyperlipidemia
4️ Surgical History
Appendectomy (remote)
5️ Medications
Metformin 1000 mg PO BID
Lisinopril 20 mg PO daily
Atorvastatin 40 mg PO nightly
6️ Allergies
No known drug allergies (NKDA)
7 Social History
Former smoker (30 pack-years, quit 10 years ago)
Denies alcohol use
Denies illicit drug use
(Zulkumor Murat) Nausea & Fatigue
2026 A+ Graded Exam Update
Patient: Zulkumor Murat
Age: 65 years
Sex: Male
Setting: Emergency Department (full labs and imaging available)
Chief Complaint: Nausea and fatigue
Overview of Presenting Problem
Zulkumor Murat is a 65-year-old male presenting with several days of
progressive nausea and generalized fatigue. His symptoms are accompanied by
i-Human Case – Week 7 dark urine, pruritus, and visible jaundice, which raise immediate concern for
hepatic dysfunction. The absence of abdominal pain, fever, vomiting, alcohol use,
or recent medication changes helps narrow the clinical focus away from infectious
GI illness or alcohol-related disease.
i-Human Case – Week 7
Patient: Zulkumor Murat
Age: 65 years
Sex: Male
Height: 5’8” (173 cm)
Weight: 204 lb (92.5 kg)
BMI: ~31 (Obese Class I)
Setting: Emergency Department (full imaging & labs available)
Chief Complaint: Nausea and fatigue
1️ Chief Complaint (CC)
“I’ve been feeling nauseous and extremely tired.”
, 2️ History of Present Illness (HPI)
Zulkumor Murat is a 65-year-old male who presents with 4 days of worsening nausea and
generalized fatigue. Symptoms began gradually and have progressed. He reports poor appetite,
dark-colored urine, and yellowing of the eyes noticed by family. He denies vomiting, diarrhea,
abdominal trauma, chest pain, dyspnea, fever, or chills. No recent travel. No alcohol use. No IV
drug use. No new medications or supplements.
3️ Past Medical History
Hypertension
Type 2 Diabetes Mellitus
Hyperlipidemia
4️ Surgical History
Appendectomy (remote)
5️ Medications
Metformin 1000 mg PO BID
Lisinopril 20 mg PO daily
Atorvastatin 40 mg PO nightly
6️ Allergies
No known drug allergies (NKDA)
7 Social History
Former smoker (30 pack-years, quit 10 years ago)
Denies alcohol use
Denies illicit drug use
