(Class 6531, 2025) – 62-Year-Old Male
‘I’m Peeing All the Time’ | Full BPH
Diagnosis, Treatment & Follow-Up
Solution”
i-Human Case Study – Week 7 (2025)
Reason for Encounter: “I’m peeing all the time”
Patient: Mr. Robert Daniels, 62-year-old male
,Course: Class 6531
Setting: Primary-care outpatient clinic
Full Fictional Patient Profile
Name: Robert Daniels
Age: 62 years
Gender: Male
Date of Birth: March 5, 1963
Race/Ethnicity: African-American
Marital Status: Married (wife, Linda, age 59)
Occupation: Retired high-school history teacher
Address: 104 Maple Drive, Springfield (placeholder city, for
educational use)
Insurance: Medicare
Emergency Contact: Linda Daniels (spouse)
Chief Complaint (CC):
“I’m peeing all the time—especially at night.”
History of Present Illness (HPI):
Mr. Daniels reports urinary frequency that began gradually
about three months ago. He urinates every two to three hours
during the day and four times nightly. The stream feels weaker
than before, and he sometimes strains to begin urination. No
,burning, pain, or blood in the urine. No fever, chills, flank pain,
or suprapubic tenderness. Drinks six cups of coffee daily, two
beers on weekends. Denies weight loss but feels tired and more
thirsty than usual. No prior episodes of urinary infection.
Past Medical History (PMH):
• Hypertension – diagnosed 2017
• Hyperlipidemia – on statin therapy
• Borderline fasting glucose noted last year
• No history of prostate cancer
Past Surgical History:
• Appendectomy (age 30)
• Colonoscopy normal (age 60)
Medications:
• Lisinopril 10 mg PO daily
• Atorvastatin 20 mg PO nightly
• Multivitamin daily
Allergies:
• NKDA (No known drug allergies)
, Family History:
• Father – Type 2 Diabetes Mellitus, deceased at 72 from MI
• Mother – Hypertension, alive (87 years)
• No family history of prostate or bladder cancer
Social History:
• Married, lives with spouse
• Retired; enjoys gardening and reading
• Diet high in carbohydrates and red meat
• Coffee ~ 6 cups/day; beer ~ 2/week
• Never smoked; no recreational drug use
• Minimal exercise (walks twice a week)
Review of Systems (pertinent positives/negatives):
• GU: Frequency, nocturia, weak stream, hesitancy
• Endocrine: Increased thirst, no unexplained weight loss
• CV: No chest pain, palpitations
• GI: Normal appetite, no nausea/vomiting
• Constitutional: Fatigue, no fever/chills
Physical Examination:
System Findings
Alert, oriented × 3, cooperative, appears well-
General
nourished