@Hooded-Tutor
IHUMAN TAMIKA
BRAYTON CASE STUDY |
FLANK PAIN | CLINICAL
ASSESSMENT, H&P,
SOAP NOTE &
DIFFERENTIAL
DIAGNOSIS
(MOST AUTHENTIC IN THE MARKET)
,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.
Tamika Brayton Document subjective information ONLY in the history.
33 y/o Suggested Approach:
5′ 6″ (168 cm) 1. Start by asking open-ended questions: "How can I help
130.0 lb (59.1 kg) you today?" and "Do you have any other symptoms or
concerns?"
Reason for encounter
2. Obtain a detailed HPI using the OLDCARTS framework
Flank pain
to characterize the flank pain, fevers, dysuria, and
Location associated systemic symptoms.
Outpatient clinic with laboratory
capabilities
@Hooded-Tutor CLINICAL ORIENTATION OBJECTIVE
@TestBankDepotX Evaluate a 33-year-old female presenting with acute onset right
flank pain, fever, chills, dysuria, and urinary urgency.
Differentiate upper urinary tract infection (Acute Pyelonephritis)
from lower UTI (Uncomplicated Cystitis), Nephrolithiasis (Renal
Colic), Pelvic Inflammatory Disease (PID), and acute retrocecal
appendicitis.
,iHuman Patients Academy | Case Authored by: i-Human Patients Academy Page 1 of 16
, SECTION 1: COMPLETE SCORED HISTORY INTERVIEW QUESTIONS & FEEDBACK
(PERFORMED 100%)
Matching exact iHuman feedback matrix requirements for Tamika Brayton (33 y/o female with flank pain).
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?
Flank Pain Screen Symptom Do you have any pain in your flanks? PERFORMED (100%)
Onset HPI When did your flank pain start? PERFORMED (100%)
Events Surrounding HPI What are the events surrounding the start of PERFORMED (100%)
Onset your flank pain?
Timing / Pattern HPI Does your flank pain come and go? PERFORMED (100%)
Pain Character HPI What does your flank pain feel like? PERFORMED (100%)
Precise Location HPI Where more precisely is your flank pain? PERFORMED (100%)
Radiation HPI Does your flank pain radiate someplace PERFORMED (100%)
else? Where?
Severity Scale HPI How severe (1-10 scale) is your flank pain? PERFORMED (100%)
Aggravating / Relieving HPI Does anything make your flank pain better PERFORMED (100%)
or worse?
Fever & Chills Screen ROS Have you had a fever, shaking chills, or night PERFORMED (100%)
sweats?
Urinary Tract Symptoms ROS Do you have burning with urination, urinary PERFORMED (100%)
frequency, urgency, or hematuria?
GI Symptoms Screen ROS Have you experienced nausea, vomiting, or PERFORMED (100%)
changes in bowel habits?
Prior Medical / UTI PMH Do you have a history of kidney stones or PERFORMED (100%)
History frequent urinary tract infections?
HIGH-YIELD QUESTIONING STRATEGY
Characterizing the flank pain (constant dull ache vs. spasmodic severe colic) and identifying lower urinary tract
symptoms (dysuria, urgency) alongside fever/chills is crucial for securing 100% on iHuman history feedback.
IHUMAN TAMIKA
BRAYTON CASE STUDY |
FLANK PAIN | CLINICAL
ASSESSMENT, H&P,
SOAP NOTE &
DIFFERENTIAL
DIAGNOSIS
(MOST AUTHENTIC IN THE MARKET)
,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.
Tamika Brayton Document subjective information ONLY in the history.
33 y/o Suggested Approach:
5′ 6″ (168 cm) 1. Start by asking open-ended questions: "How can I help
130.0 lb (59.1 kg) you today?" and "Do you have any other symptoms or
concerns?"
Reason for encounter
2. Obtain a detailed HPI using the OLDCARTS framework
Flank pain
to characterize the flank pain, fevers, dysuria, and
Location associated systemic symptoms.
Outpatient clinic with laboratory
capabilities
@Hooded-Tutor CLINICAL ORIENTATION OBJECTIVE
@TestBankDepotX Evaluate a 33-year-old female presenting with acute onset right
flank pain, fever, chills, dysuria, and urinary urgency.
Differentiate upper urinary tract infection (Acute Pyelonephritis)
from lower UTI (Uncomplicated Cystitis), Nephrolithiasis (Renal
Colic), Pelvic Inflammatory Disease (PID), and acute retrocecal
appendicitis.
,iHuman Patients Academy | Case Authored by: i-Human Patients Academy Page 1 of 16
, SECTION 1: COMPLETE SCORED HISTORY INTERVIEW QUESTIONS & FEEDBACK
(PERFORMED 100%)
Matching exact iHuman feedback matrix requirements for Tamika Brayton (33 y/o female with flank pain).
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?
Flank Pain Screen Symptom Do you have any pain in your flanks? PERFORMED (100%)
Onset HPI When did your flank pain start? PERFORMED (100%)
Events Surrounding HPI What are the events surrounding the start of PERFORMED (100%)
Onset your flank pain?
Timing / Pattern HPI Does your flank pain come and go? PERFORMED (100%)
Pain Character HPI What does your flank pain feel like? PERFORMED (100%)
Precise Location HPI Where more precisely is your flank pain? PERFORMED (100%)
Radiation HPI Does your flank pain radiate someplace PERFORMED (100%)
else? Where?
Severity Scale HPI How severe (1-10 scale) is your flank pain? PERFORMED (100%)
Aggravating / Relieving HPI Does anything make your flank pain better PERFORMED (100%)
or worse?
Fever & Chills Screen ROS Have you had a fever, shaking chills, or night PERFORMED (100%)
sweats?
Urinary Tract Symptoms ROS Do you have burning with urination, urinary PERFORMED (100%)
frequency, urgency, or hematuria?
GI Symptoms Screen ROS Have you experienced nausea, vomiting, or PERFORMED (100%)
changes in bowel habits?
Prior Medical / UTI PMH Do you have a history of kidney stones or PERFORMED (100%)
History frequent urinary tract infections?
HIGH-YIELD QUESTIONING STRATEGY
Characterizing the flank pain (constant dull ache vs. spasmodic severe colic) and identifying lower urinary tract
symptoms (dysuria, urgency) alongside fever/chills is crucial for securing 100% on iHuman history feedback.
