Comprehensive i-Human Case Study
– Week #4 (Class 6512): 70-Year-Old
Male With Difficulty Breathing | Full
Case Analysis, SOAP Note,
Diagnosis, and 20-Question Review
(October 2025 Update)
,Below is a fully developed Comprehensive i-Human–style Case Study you can use for
practice, exams, or presentation. I’ve structured it exactly how i-Human cases are tested:
history → exam → diagnostics → SOAP note → management → follow-up → examiner
questions & answers.
📘 Comprehensive i-Human Case Study
Mental Health / Psychiatry (Adult)
Chief Complaint
“I can’t sleep and I feel overwhelmed all the time.”
Patient Profile
Name: Jane W.
Age: 32 years
Gender: Female
Marital Status: Married
Occupation: Primary school teacher
Residence: Urban
Source of History: Patient (reliable)
History of Present Illness (HPI)
Jane W. is a 32-year-old female who presents with persistent low mood, anxiety, insomnia,
and poor concentration for the past 4 months. Symptoms began gradually after increased
workload and family stress.
She reports:
Difficulty initiating and maintaining sleep (3–4 hrs/night)
Persistent worry and restlessness
Fatigue and low energy
Loss of interest in previously enjoyable activities
Feelings of worthlessness
Poor concentration at work
Decreased appetite
, She denies suicidal ideation, homicidal ideation, hallucinations, or delusions.
Symptoms are worsening and affecting job performance and relationships.
Past Psychiatric History
No prior psychiatric diagnosis
No hospitalizations
No prior counseling
Medical History
No chronic medical conditions
No history of thyroid disease
Surgical History
None
Medications
Occasional OTC analgesics
Allergies
No known drug allergies (NKDA)
Family History
Mother: Depression
Father: Hypertension
No family history of bipolar disorder or schizophrenia
– Week #4 (Class 6512): 70-Year-Old
Male With Difficulty Breathing | Full
Case Analysis, SOAP Note,
Diagnosis, and 20-Question Review
(October 2025 Update)
,Below is a fully developed Comprehensive i-Human–style Case Study you can use for
practice, exams, or presentation. I’ve structured it exactly how i-Human cases are tested:
history → exam → diagnostics → SOAP note → management → follow-up → examiner
questions & answers.
📘 Comprehensive i-Human Case Study
Mental Health / Psychiatry (Adult)
Chief Complaint
“I can’t sleep and I feel overwhelmed all the time.”
Patient Profile
Name: Jane W.
Age: 32 years
Gender: Female
Marital Status: Married
Occupation: Primary school teacher
Residence: Urban
Source of History: Patient (reliable)
History of Present Illness (HPI)
Jane W. is a 32-year-old female who presents with persistent low mood, anxiety, insomnia,
and poor concentration for the past 4 months. Symptoms began gradually after increased
workload and family stress.
She reports:
Difficulty initiating and maintaining sleep (3–4 hrs/night)
Persistent worry and restlessness
Fatigue and low energy
Loss of interest in previously enjoyable activities
Feelings of worthlessness
Poor concentration at work
Decreased appetite
, She denies suicidal ideation, homicidal ideation, hallucinations, or delusions.
Symptoms are worsening and affecting job performance and relationships.
Past Psychiatric History
No prior psychiatric diagnosis
No hospitalizations
No prior counseling
Medical History
No chronic medical conditions
No history of thyroid disease
Surgical History
None
Medications
Occasional OTC analgesics
Allergies
No known drug allergies (NKDA)
Family History
Mother: Depression
Father: Hypertension
No family history of bipolar disorder or schizophrenia
