Be wise by WISEDOC EXAMS 2026
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55-Year-Old Male with Back Pain I-Human
Case Study – Full Analysis, Diagnosis,
Pathophysiology & Management Explained 2026
Educational use
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
,Be wise by WISEDOC EXAMS 2026
Patient Name: James Carter (55 y/o Male)
Height / Weight: 5' 10" (178 cm) / 245.0 lb (111.4 kg) — BMI: 35.2 kg/m²
Chief Complaint: Back pain
Case Week: i-Human Case Week #9
Setting: Primary Care Clinic
Case Type: Comprehensive — Pathophysiology, Clinical Reasoning, Broader
Implications
Case Author: i-Human Patients Academic Team
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
,Be wise by WISEDOC EXAMS 2026
2|Page
HISTORY FEEDBACK — I-HUMAN GRADED PERFORMANCE
Ask relevant problem-focused questions to create an accurate initial differential
diagnosis list. Various questions may yield the same information. Examples of high-yield
questions for this case include:
● Performed ✗ Missed
●/✗ Category Question Patient Response
● HPI How can I help you My back really hurts.
today?
● HPI Do you have any Yes — the pain makes it hard to sleep
other symptoms or and gets worse when I am walking. But
concerns we should otherwise, nothing else.
discuss?
● HPI What are the events I was rearranging heavy tables at the
surrounding the start restaurant where I work. I do it all the
of your back pain? time but this time I must have moved
them wrong.
● HPI When did the pain in Four days ago.
your back start?
● HPI How long does your I hope it won't last long. This is horrible!
back pain last?
● HPI What does the pain in Sharp.
your back feel like?
● HPI How severe (1–10 About 7.
scale) is the pain in
your back?
● HPI Where more precisely It's in my lower back. It starts right here
is the pain in your (puts the palm of his hand on his lower
back? back).
● HPI Does the pain in your I have pain in my right leg now also.
back radiate
someplace else?
Where?
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
, Be wise by WISEDOC EXAMS 2026
● HPI Does the pain in your I wish it would go... No, it's continuous.
back come and go?
● HPI Does anything make Moving hurts more. Even rolling over in
the pain in your back bed... or walking. I tried the ibuprofen
better or worse? like the urgent care recommended but
it's not working.
● HPI What treatments have Just the ibuprofen the urgent care gave
you had for the pain me. It doesn't seem to be doing much.
in your back?
● Symptom Do you have any Yes, it's in my right leg. I have shooting
tingling and/or pain all the way down that side too. It's
numbness anywhere? pretty painful.
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
1|Page
55-Year-Old Male with Back Pain I-Human
Case Study – Full Analysis, Diagnosis,
Pathophysiology & Management Explained 2026
Educational use
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
,Be wise by WISEDOC EXAMS 2026
Patient Name: James Carter (55 y/o Male)
Height / Weight: 5' 10" (178 cm) / 245.0 lb (111.4 kg) — BMI: 35.2 kg/m²
Chief Complaint: Back pain
Case Week: i-Human Case Week #9
Setting: Primary Care Clinic
Case Type: Comprehensive — Pathophysiology, Clinical Reasoning, Broader
Implications
Case Author: i-Human Patients Academic Team
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
,Be wise by WISEDOC EXAMS 2026
2|Page
HISTORY FEEDBACK — I-HUMAN GRADED PERFORMANCE
Ask relevant problem-focused questions to create an accurate initial differential
diagnosis list. Various questions may yield the same information. Examples of high-yield
questions for this case include:
● Performed ✗ Missed
●/✗ Category Question Patient Response
● HPI How can I help you My back really hurts.
today?
● HPI Do you have any Yes — the pain makes it hard to sleep
other symptoms or and gets worse when I am walking. But
concerns we should otherwise, nothing else.
discuss?
● HPI What are the events I was rearranging heavy tables at the
surrounding the start restaurant where I work. I do it all the
of your back pain? time but this time I must have moved
them wrong.
● HPI When did the pain in Four days ago.
your back start?
● HPI How long does your I hope it won't last long. This is horrible!
back pain last?
● HPI What does the pain in Sharp.
your back feel like?
● HPI How severe (1–10 About 7.
scale) is the pain in
your back?
● HPI Where more precisely It's in my lower back. It starts right here
is the pain in your (puts the palm of his hand on his lower
back? back).
● HPI Does the pain in your I have pain in my right leg now also.
back radiate
someplace else?
Where?
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
, Be wise by WISEDOC EXAMS 2026
● HPI Does the pain in your I wish it would go... No, it's continuous.
back come and go?
● HPI Does anything make Moving hurts more. Even rolling over in
the pain in your back bed... or walking. I tried the ibuprofen
better or worse? like the urgent care recommended but
it's not working.
● HPI What treatments have Just the ibuprofen the urgent care gave
you had for the pain me. It doesn't seem to be doing much.
in your back?
● Symptom Do you have any Yes, it's in my right leg. I have shooting
tingling and/or pain all the way down that side too. It's
numbness anywhere? pretty painful.
i-Human Patients Academic Team | Comprehensive Case Study | For Educational Use Only | © 2025–2026
