i-HUMAN CASE STUDY WEEK#9 (30-YRS-OLD FEMALE WITH LOWER ABDOMINAL PAIN & SPOTTING)

i-HUMAN CASE STUDY WEEK#9
(30-YRS-OLD FEMALE WITH
LOWER ABDOMINAL PAIN & SPOTTING)


Reason for Encounter: Lower abdominal pain and spotting

Mode: Learning Mode

i-Human Grading Rubric Alignment

• History: 20%

i-Human Full Case File • Physical Exam: 70%

H&P + Diagnosis Case • Diagnostic Testing: 10%

 Age: 30 years
 Sex: Female
 Height: 5′3″ (160 cm)




👤 Patient Profile
 Age: 30 years
 Sex: Female
 Height: 5′3″ (160 cm)
 Weight: 136 lb (61.8 kg)
 Location: Emergency Department (full imaging & lab capability)
 Reason for Encounter: Lower abdominal pain and spotting
 Mode: Learning Mode
 Attempts Available: 1




🩺 Chief Complaint (CC)

, i-HUMAN CASE STUDY WEEK#9
(30-YRS-OLD FEMALE WITH
LOWER ABDOMINAL PAIN & SPOTTING)

“I’m having lower abdominal pain and some vaginal spotting.”




📝 History of Present Illness (HPI)
The patient is a 30-year-old female who presents to the emergency department with lower
abdominal pain and vaginal spotting.

 Onset: Sudden onset 8–10 hours prior to arrival
 Location: Suprapubic and right lower abdomen
 Character: Crampy with intermittent sharp pain
 Severity: 7/10
 Radiation: None
 Timing: Constant with episodic worsening
 Aggravating factors: Movement, palpation
 Relieving factors: None noted
 Associated symptoms:
o Vaginal spotting (dark red, light amount)
o Mild nausea
o Lightheadedness

Menstrual / OB-GYN History

 LMP: ~6 weeks ago
 Cycles: Regular
 Contraception: Inconsistent condom use
 Pregnancy status: Unknown
 History of STIs: Denies
 Prior pregnancies: G1P0 (one prior miscarriage)

⚠️ Key concern: Reproductive-age female + pain + bleeding = pregnancy complication until
proven otherwise.




🩺 Review of Systems (ROS)
Positive