I HUMAN DIZZINESS CASE STUDY — SHEILA DAVIS (AGE 68):
COMPLETE H&P EXAM, CLINICAL ASSESSMENT, BPPV
DIFFERENTIAL & FINAL DIAGNOSIS, LAB/DIAGNOSTIC
INTERPRETATION, TREATMENT, PATIENT EDUCATION,
FOLLOW-UP & COMPREHENSIVE SOAP NOTE | LATEST UPDATED
2026/2027 COMPREHENSIVE EXAM PRACTICE & STUDY GUIDE
ducational note:The following is aconstructed educational case
E
studybased on the presentation described (Sheila Davis, age 68,
dizziness). It is not a reproduction of an official i-Human case, answer key,
or proprietary exam. Because the requested outline specifically includes
atopic dermatitis, that section is included as a clinical teaching
component, although atopic dermatitis is not assumed to be the cause of
this patient's dizziness.
,Table of Contents
1 . Case Overview & Problem Statement
2. Patient Demographics & Vitals
3. Chief Complaint & History of Present Illness
4. Recommended Interview Questions & Rationale
5. Past Medical, Family & Social History
6. Review of Systems (ROS)
7. Physical Examination
8. Key Findings Summary
9. Clinical Assessment
10.Diagnostic Tests & Lab Interpretation
11.Differential Diagnosis
12.Final Diagnosis & Classification
13.Pathophysiology of Atopic Dermatitis
14.SOAP Note (Full and Comprehensive)
15.Treatment & Management Plan
16.Patient & Caregiver Education
17.Follow-Up & Monitoring Plan
1. CASE OVERVIEW & PROBLEM STATEMENT
Patient
Sheila Davis,68-year-old woman.
Reason for Encounter:Dizziness
linical Problem:Sheila presents with a new episode of dizziness. In an older
C
adult, dizziness requires a structured assessment because it may result from a
benign vestibular disorder, medication effect, dehydration, orthostatic
hypotension, cardiovascular disease, metabolic abnormalities, or a potentially
serious neurologic process.
The first clinical task is to characterize what the patient means by "dizziness":
V
● ertigo:sensation of spinning or movement.
● Presyncope:sensation of impending fainting.
, D
● isequilibrium:imbalance or unsteadiness.
● Nonspecific lightheadedness:vague altered sensation.
The history should establish:
1 . Onset.
2. Duration.
3. Frequency.
4. Triggers.
5. Associated neurologic symptoms.
6. Cardiovascular symptoms.
7. Medication exposure.
8. Hydration and nutritional status.
9. Fall risk.
10.Red flags requiring emergency evaluation.
Working Clinical Impression
or this constructed case, the history and examination are designed to support
F
benign paroxysmal positional vertigo (BPPV)as the leading diagnosis, while
demonstrating the appropriate evaluation of dangerous alternatives.
2. PATIENT DEMOGRAPHICS & VITALS
Parameter Finding
Name Sheila Davis
Age 68 years
Sex Female
Marital status Widowed
Living situation ives
L
independently
Primary concern Dizziness
Height 165 cm
, Weight 72 kg
BMI 26.4 kg/m²
Temperature 36.8°C
Heart rate 74 bpm, regular
Respiratory rate 16/min
lood pressure,
B 132/76 mmHg
sitting
lood pressure,
B 128/74 mmHg
standing
SpO₂ 98% on room air
Pain 0/10
Interpretation
The vital signs are generally stable.
here isno significant orthostatic blood-pressure dropin this constructed
T
case, making clinically significant orthostatic hypotension less likely.
3. CHIEF COMPLAINT & HISTORY OF PRESENT ILLNESS
Chief Complaint
"I've been getting dizzy when I turn over in bed."
History of Present Illness
heila is a 68-year-old woman presenting with approximately1 week of
S
intermittent dizziness.
he describes the sensation asthe room spinning, rather than feeling faint or
S
weak.
COMPLETE H&P EXAM, CLINICAL ASSESSMENT, BPPV
DIFFERENTIAL & FINAL DIAGNOSIS, LAB/DIAGNOSTIC
INTERPRETATION, TREATMENT, PATIENT EDUCATION,
FOLLOW-UP & COMPREHENSIVE SOAP NOTE | LATEST UPDATED
2026/2027 COMPREHENSIVE EXAM PRACTICE & STUDY GUIDE
ducational note:The following is aconstructed educational case
E
studybased on the presentation described (Sheila Davis, age 68,
dizziness). It is not a reproduction of an official i-Human case, answer key,
or proprietary exam. Because the requested outline specifically includes
atopic dermatitis, that section is included as a clinical teaching
component, although atopic dermatitis is not assumed to be the cause of
this patient's dizziness.
,Table of Contents
1 . Case Overview & Problem Statement
2. Patient Demographics & Vitals
3. Chief Complaint & History of Present Illness
4. Recommended Interview Questions & Rationale
5. Past Medical, Family & Social History
6. Review of Systems (ROS)
7. Physical Examination
8. Key Findings Summary
9. Clinical Assessment
10.Diagnostic Tests & Lab Interpretation
11.Differential Diagnosis
12.Final Diagnosis & Classification
13.Pathophysiology of Atopic Dermatitis
14.SOAP Note (Full and Comprehensive)
15.Treatment & Management Plan
16.Patient & Caregiver Education
17.Follow-Up & Monitoring Plan
1. CASE OVERVIEW & PROBLEM STATEMENT
Patient
Sheila Davis,68-year-old woman.
Reason for Encounter:Dizziness
linical Problem:Sheila presents with a new episode of dizziness. In an older
C
adult, dizziness requires a structured assessment because it may result from a
benign vestibular disorder, medication effect, dehydration, orthostatic
hypotension, cardiovascular disease, metabolic abnormalities, or a potentially
serious neurologic process.
The first clinical task is to characterize what the patient means by "dizziness":
V
● ertigo:sensation of spinning or movement.
● Presyncope:sensation of impending fainting.
, D
● isequilibrium:imbalance or unsteadiness.
● Nonspecific lightheadedness:vague altered sensation.
The history should establish:
1 . Onset.
2. Duration.
3. Frequency.
4. Triggers.
5. Associated neurologic symptoms.
6. Cardiovascular symptoms.
7. Medication exposure.
8. Hydration and nutritional status.
9. Fall risk.
10.Red flags requiring emergency evaluation.
Working Clinical Impression
or this constructed case, the history and examination are designed to support
F
benign paroxysmal positional vertigo (BPPV)as the leading diagnosis, while
demonstrating the appropriate evaluation of dangerous alternatives.
2. PATIENT DEMOGRAPHICS & VITALS
Parameter Finding
Name Sheila Davis
Age 68 years
Sex Female
Marital status Widowed
Living situation ives
L
independently
Primary concern Dizziness
Height 165 cm
, Weight 72 kg
BMI 26.4 kg/m²
Temperature 36.8°C
Heart rate 74 bpm, regular
Respiratory rate 16/min
lood pressure,
B 132/76 mmHg
sitting
lood pressure,
B 128/74 mmHg
standing
SpO₂ 98% on room air
Pain 0/10
Interpretation
The vital signs are generally stable.
here isno significant orthostatic blood-pressure dropin this constructed
T
case, making clinically significant orthostatic hypotension less likely.
3. CHIEF COMPLAINT & HISTORY OF PRESENT ILLNESS
Chief Complaint
"I've been getting dizzy when I turn over in bed."
History of Present Illness
heila is a 68-year-old woman presenting with approximately1 week of
S
intermittent dizziness.
he describes the sensation asthe room spinning, rather than feeling faint or
S
weak.
