IHUMAN KATHLEEN PARKS
CASE STUDY | MORE
@Hooded-Tutor FREQUENT & SEVERE
HEADACHES | CLINICAL
STUDY GUIDE, H&P, SOAP
NOTE & DIFFERENTIAL
DIAGNOSIS
MOST AUTHENTIC IN
THE MARKET
Online2PDF.com
[COMPANY NAME]
,Case Setup History Physical Exam Assessment Test Results Diagnosis Plan
Case Instructions
CASE PLAY INSTRUCTIONS AND CLINICAL RULES
History Requirements:
You may ask up to 120 questions but must determine relevant
questions based on the present illness and associated body
systems.
All documentation MUST be completed in the Electronic Health
Record (EHR) Patient Encounter.
Findings do not auto-populate in the EHR.
Document subjective information ONLY in the history.
Kathleen Parks
26 y/o Suggested Approach:
5′ 6″ (168 cm) 1. Start by asking open-ended questions: "How can I help you
122.0 lb (55.5 kg) today?" and "Do you have any other symptoms or concerns ?"
2. Obtain a detailed HPI using the OLDCARTS framework to
Reason for encounter
characterize the change in headache pattern .
More frequent severe headaches
Location
Outpatient clinic with x-ray, ECG, and CLINICAL ORIENTATION OBJECTIVE
laboratory capabilities Evaluate a 26-year-old female presenting with an increased
@Hooded-Tutor frequency and severity of recurrent headaches over recent
@TestBankDepotX months. Differentiate between primary headache disorders
(Migraine with/without aura, Tension-type headache, Cluster
headache) and rule out secondary intracranial pathology (e.g.,
mass lesion, intracranial hypertension, vascular malformation).
,SECTION 1: COMPLETE SCORED HISTORY INTERVIEW QUESTIONS & FEEDBACK
(PERFORMED 100%)
Matching exact iHuman feedback matrix requirements for Kathleen Parks (26 y/o female with more frequent severe
headaches).
PIVOTAL CONCEPT CATEGORY EXACT QUESTION ASKED SCORE / STATUS
Chief Complaint HPI How can I help you today? PERFORMED (100%)
Associated Symptoms HPI Do you have any other symptoms or PERFORMED (100%)
concerns we should discuss?
Active Symptom Screen Symptom Do you have a headache right now? PERFORMED (100%)
Onset & Progression HPI When did your headache start / get worse? PERFORMED (100%)
Triggers & Events HPI What are the events surrounding the start of PERFORMED (100%)
your headache?
Duration HPI How long does your headache last? PERFORMED (100%)
Pattern & Frequency HPI Does your headache come and go? How PERFORMED (100%)
often?
New vs Chronic Change Symptom Do you have new headaches that you have PERFORMED (100%)
not experienced previously ?
Visual Aura Screen HPI Do you have any awareness or warning PERFORMED (100%)
symptoms before the headache begins?
Pain Quality HPI Can you describe what the headache pain PERFORMED (100%)
feels like?
Relieving Factors HPI Does anything make your headache better PERFORMED (100%)
or worse?
Medication History OTC / Rx What treatments or medications have you PERFORMED (100%)
tried for your headaches?
Dietary Triggers SH Do you drink alcohol, specifically red wine? PERFORMED (100%)
Or eat specific foods?
Family History FH Does anyone in your family suffer from PERFORMED (100%)
severe headaches or migraines?
Red Flag Screen ROS Have you had fever, neck stiffness, PERFORMED (100%)
confusion, or weakness?
HIGH-YIELD QUESTIONING STRATEGY
Asking about premonitory/aura symptoms (visual zig-zag lights) and establishing the 10-year baseline vs. 2-
month worsening frequency is essential to earn maximum points in iHuman .
, SECTION 1 (CONT.): FULL PATIENT DIALOGUE TRANSCRIPT & SYSTEMIC
FINDINGS
Patient's Direct Responses (Kathleen Parks, 26 y/o):
Chief Complaint: "I've been having these really bad headaches over the last few months . I don't have one right
now, and haven't had one in about a week, but I thought I'd have it checked out anyway."
Symptom Progression: "I have been having headaches every 1–2 months for the past 10 years, but over the
past few months they're happening much more frequently—like every 1–2 weeks. The pain is also significantly
worse."
Pain Character & Location: "It's an intense, throbbing pain, usually localized to the left side behind my eye and
temporal region. It does not radiate down my neck."
Visual Aura & Premonitory Symptoms: "Often before the headache comes on , vision in both eyes gets blurry
and spotty at the edges—kind of like zig-zag lines or flashing lights. That lasts for about 20–30 minutes before
the severe head pain starts."
Associated Symptoms: "Severe nausea and vomiting when the pain peaks. I get extremely sensitive to light
(photophobia) and sound (phonophobia)."
Duration & Relieving Factors: "An attack can last up to 15 hours—the whole day is shot. It helps if I lie down in
a dark, quiet room and try to sleep it off."
Triggers & Stressors: "Working part-time as a waitress while being a full-time grad student is super stressful.
They usually happen when I don't get enough sleep or drink 2–3 glasses of red wine a week. Also eating junk
food like chocolate."
Medication Failure: "I used to take acetaminophen or ibuprofen , but now by the time I take it, I can't keep it
down because of the nausea and vomiting ."
Family History: "My mother suffers from severe migraine headaches."
Patient Anxiety / Fear: "I know it sounds crazy, but I'm terrified it might be something really serious , like a
slowly growing brain tumor."
SYNTHESIS OF SUBJECTIVE FINDINGS
Classic 10-year history of episodic unilateral throbbing headaches with visual aura (scintillating scotoma),
photophobia, phonophobia, and nausea/vomiting. Recent frequency escalation (from monthly to weekly)
triggered by stress, sleep disruption, red wine, and chocolate.
CASE STUDY | MORE
@Hooded-Tutor FREQUENT & SEVERE
HEADACHES | CLINICAL
STUDY GUIDE, H&P, SOAP
NOTE & DIFFERENTIAL
DIAGNOSIS
MOST AUTHENTIC IN
THE MARKET
Online2PDF.com
[COMPANY NAME]
,Case Setup History Physical Exam Assessment Test Results Diagnosis Plan
Case Instructions
CASE PLAY INSTRUCTIONS AND CLINICAL RULES
History Requirements:
You may ask up to 120 questions but must determine relevant
questions based on the present illness and associated body
systems.
All documentation MUST be completed in the Electronic Health
Record (EHR) Patient Encounter.
Findings do not auto-populate in the EHR.
Document subjective information ONLY in the history.
Kathleen Parks
26 y/o Suggested Approach:
5′ 6″ (168 cm) 1. Start by asking open-ended questions: "How can I help you
122.0 lb (55.5 kg) today?" and "Do you have any other symptoms or concerns ?"
2. Obtain a detailed HPI using the OLDCARTS framework to
Reason for encounter
characterize the change in headache pattern .
More frequent severe headaches
Location
Outpatient clinic with x-ray, ECG, and CLINICAL ORIENTATION OBJECTIVE
laboratory capabilities Evaluate a 26-year-old female presenting with an increased
@Hooded-Tutor frequency and severity of recurrent headaches over recent
@TestBankDepotX months. Differentiate between primary headache disorders
(Migraine with/without aura, Tension-type headache, Cluster
headache) and rule out secondary intracranial pathology (e.g.,
mass lesion, intracranial hypertension, vascular malformation).
,SECTION 1: COMPLETE SCORED HISTORY INTERVIEW QUESTIONS & FEEDBACK
(PERFORMED 100%)
Matching exact iHuman feedback matrix requirements for Kathleen Parks (26 y/o female with more frequent severe
headaches).
PIVOTAL CONCEPT CATEGORY EXACT QUESTION ASKED SCORE / STATUS
Chief Complaint HPI How can I help you today? PERFORMED (100%)
Associated Symptoms HPI Do you have any other symptoms or PERFORMED (100%)
concerns we should discuss?
Active Symptom Screen Symptom Do you have a headache right now? PERFORMED (100%)
Onset & Progression HPI When did your headache start / get worse? PERFORMED (100%)
Triggers & Events HPI What are the events surrounding the start of PERFORMED (100%)
your headache?
Duration HPI How long does your headache last? PERFORMED (100%)
Pattern & Frequency HPI Does your headache come and go? How PERFORMED (100%)
often?
New vs Chronic Change Symptom Do you have new headaches that you have PERFORMED (100%)
not experienced previously ?
Visual Aura Screen HPI Do you have any awareness or warning PERFORMED (100%)
symptoms before the headache begins?
Pain Quality HPI Can you describe what the headache pain PERFORMED (100%)
feels like?
Relieving Factors HPI Does anything make your headache better PERFORMED (100%)
or worse?
Medication History OTC / Rx What treatments or medications have you PERFORMED (100%)
tried for your headaches?
Dietary Triggers SH Do you drink alcohol, specifically red wine? PERFORMED (100%)
Or eat specific foods?
Family History FH Does anyone in your family suffer from PERFORMED (100%)
severe headaches or migraines?
Red Flag Screen ROS Have you had fever, neck stiffness, PERFORMED (100%)
confusion, or weakness?
HIGH-YIELD QUESTIONING STRATEGY
Asking about premonitory/aura symptoms (visual zig-zag lights) and establishing the 10-year baseline vs. 2-
month worsening frequency is essential to earn maximum points in iHuman .
, SECTION 1 (CONT.): FULL PATIENT DIALOGUE TRANSCRIPT & SYSTEMIC
FINDINGS
Patient's Direct Responses (Kathleen Parks, 26 y/o):
Chief Complaint: "I've been having these really bad headaches over the last few months . I don't have one right
now, and haven't had one in about a week, but I thought I'd have it checked out anyway."
Symptom Progression: "I have been having headaches every 1–2 months for the past 10 years, but over the
past few months they're happening much more frequently—like every 1–2 weeks. The pain is also significantly
worse."
Pain Character & Location: "It's an intense, throbbing pain, usually localized to the left side behind my eye and
temporal region. It does not radiate down my neck."
Visual Aura & Premonitory Symptoms: "Often before the headache comes on , vision in both eyes gets blurry
and spotty at the edges—kind of like zig-zag lines or flashing lights. That lasts for about 20–30 minutes before
the severe head pain starts."
Associated Symptoms: "Severe nausea and vomiting when the pain peaks. I get extremely sensitive to light
(photophobia) and sound (phonophobia)."
Duration & Relieving Factors: "An attack can last up to 15 hours—the whole day is shot. It helps if I lie down in
a dark, quiet room and try to sleep it off."
Triggers & Stressors: "Working part-time as a waitress while being a full-time grad student is super stressful.
They usually happen when I don't get enough sleep or drink 2–3 glasses of red wine a week. Also eating junk
food like chocolate."
Medication Failure: "I used to take acetaminophen or ibuprofen , but now by the time I take it, I can't keep it
down because of the nausea and vomiting ."
Family History: "My mother suffers from severe migraine headaches."
Patient Anxiety / Fear: "I know it sounds crazy, but I'm terrified it might be something really serious , like a
slowly growing brain tumor."
SYNTHESIS OF SUBJECTIVE FINDINGS
Classic 10-year history of episodic unilateral throbbing headaches with visual aura (scintillating scotoma),
photophobia, phonophobia, and nausea/vomiting. Recent frequency escalation (from monthly to weekly)
triggered by stress, sleep disruption, red wine, and chocolate.
