WEEK#10 CASE STUDY A 17-YEAR-OLD-FEMALE,REASON FOR
ENCOUNTER:FATIQUE (CLASS 6541)COMPREHENSIVE
CLINICAL ANALYSIS
,The document appears to be an i-Human case study (#Week10)
focused on a 17-year-old female patient presenting with fatigue.
The title and some text are highlighted in yellow. The case
instructions mention that assignments should be submitted on time,
following due dates listed in Canvas, and that due dates in the i-
Human system are for administrative purposes only.
There is also a student case play instructions section, and an image
of a virtual patient (a young female) is shown with her basic details:
• Age: 17 years
• Height: 5’4” (163 cm)
• Weight: 168 lb (76.4 kg)
• Reason for encounter: Fatigue
1. History of Present Illness (HPI)
• Onset: When did the fatigue start?
• Duration: Has it been persistent or intermittent?
• Severity: How bad is the fatigue on a scale of 1-10?
• Associated Symptoms: Any weight loss, fever, night sweats,
dizziness, headaches, sleep disturbances, depression, or other
symptoms?
• Exacerbating/Relieving Factors: Does rest help? Any
activities making it worse?
• Recent Illness or Infections: Any history of mononucleosis,
COVID-19, flu, or other infections?
• Diet & Hydration: Any recent dietary changes? Is she eating
enough?
• Menstrual History: Regular periods? Heavy bleeding? Recent
changes?
• Medications & Supplements: Any new medications, birth
control, or supplements like iron?
2. Past Medical History (PMH)
• Any history of anemia, thyroid disorders, diabetes,
autoimmune diseases (e.g., lupus), or chronic infections?
• History of mental health issues like depression or anxiety?
, • Any history of chronic fatigue syndrome or past similar
episodes?
3. Family History
• Any family history of thyroid disease, diabetes, autoimmune
disorders, anemia, or chronic illnesses?
• Any history of mental health disorders in the family?
4. Social History
• Lifestyle & Activity Level: Does she engage in sports or
excessive physical activity?
• Diet & Nutrition: Is she following a restrictive diet (e.g.,
vegan, low-calorie diet)?
• Substance Use: Any alcohol, drugs, or excessive caffeine
consumption?
• Sleep Patterns: Does she get enough sleep? Any sleep
disturbances or insomnia?
• Stress & Mental Health: Any school stress, personal problems,
or signs of depression?
5. Review of Systems (ROS)
• General: Weight changes, fever, chills?
• Neurologic: Headaches, dizziness, memory issues?
• Endocrine: Cold intolerance, hair loss, excessive thirst,
excessive urination?
• Cardiovascular: Palpitations, shortness of breath?
• Hematologic: Easy bruising, heavy periods, pale skin?
• Gastrointestinal: Appetite changes, nausea, vomiting?
1. Chief Complaint (CC)
"I'm feeling very tired all the time."
2. History of Present Illness (HPI)
ENCOUNTER:FATIQUE (CLASS 6541)COMPREHENSIVE
CLINICAL ANALYSIS
,The document appears to be an i-Human case study (#Week10)
focused on a 17-year-old female patient presenting with fatigue.
The title and some text are highlighted in yellow. The case
instructions mention that assignments should be submitted on time,
following due dates listed in Canvas, and that due dates in the i-
Human system are for administrative purposes only.
There is also a student case play instructions section, and an image
of a virtual patient (a young female) is shown with her basic details:
• Age: 17 years
• Height: 5’4” (163 cm)
• Weight: 168 lb (76.4 kg)
• Reason for encounter: Fatigue
1. History of Present Illness (HPI)
• Onset: When did the fatigue start?
• Duration: Has it been persistent or intermittent?
• Severity: How bad is the fatigue on a scale of 1-10?
• Associated Symptoms: Any weight loss, fever, night sweats,
dizziness, headaches, sleep disturbances, depression, or other
symptoms?
• Exacerbating/Relieving Factors: Does rest help? Any
activities making it worse?
• Recent Illness or Infections: Any history of mononucleosis,
COVID-19, flu, or other infections?
• Diet & Hydration: Any recent dietary changes? Is she eating
enough?
• Menstrual History: Regular periods? Heavy bleeding? Recent
changes?
• Medications & Supplements: Any new medications, birth
control, or supplements like iron?
2. Past Medical History (PMH)
• Any history of anemia, thyroid disorders, diabetes,
autoimmune diseases (e.g., lupus), or chronic infections?
• History of mental health issues like depression or anxiety?
, • Any history of chronic fatigue syndrome or past similar
episodes?
3. Family History
• Any family history of thyroid disease, diabetes, autoimmune
disorders, anemia, or chronic illnesses?
• Any history of mental health disorders in the family?
4. Social History
• Lifestyle & Activity Level: Does she engage in sports or
excessive physical activity?
• Diet & Nutrition: Is she following a restrictive diet (e.g.,
vegan, low-calorie diet)?
• Substance Use: Any alcohol, drugs, or excessive caffeine
consumption?
• Sleep Patterns: Does she get enough sleep? Any sleep
disturbances or insomnia?
• Stress & Mental Health: Any school stress, personal problems,
or signs of depression?
5. Review of Systems (ROS)
• General: Weight changes, fever, chills?
• Neurologic: Headaches, dizziness, memory issues?
• Endocrine: Cold intolerance, hair loss, excessive thirst,
excessive urination?
• Cardiovascular: Palpitations, shortness of breath?
• Hematologic: Easy bruising, heavy periods, pale skin?
• Gastrointestinal: Appetite changes, nausea, vomiting?
1. Chief Complaint (CC)
"I'm feeling very tired all the time."
2. History of Present Illness (HPI)
