I-Human Case Study – Week 7
Comprehensive Emergency Room Clinical Case
Analysis
Title:
Comprehensive i-Human Clinical Case Study: Evaluation of Nausea and
Fatigue in an Elderly Male Patient
Course: i-Human Clinical Simulation
Week: 7
Setting: Emergency Department
Student Name: __________________
Institution: __________________
Date: __________________
,INTRODUCTION & BACKGROUND
Clinical simulations such as i-Human provide an essential bridge between theoretical
knowledge and real-world clinical reasoning. Elderly patients frequently present with
vague, nonspecific symptoms that can mask serious underlying pathology. Symptoms
such as nausea and fatigue, while common, require a systematic and cautious diagnostic
approach due to the increased prevalence of chronic disease, polypharmacy, and atypical
presentations in older adults.
This case study focuses on a 65-year-old male presenting to the emergency department
with nausea and fatigue. The analysis demonstrates comprehensive history taking,
physical examination, diagnostic reasoning, differential diagnosis development, and
evidence-based management. Emphasis is placed on ruling out life-threatening conditions
while identifying metabolic and systemic causes.
, PATIENT PROFILE AND DEMOGRAPHICS
The patient is a 65-year-old male who presents to the emergency department. His height is
5 feet 8 inches (173 cm) and weight is 204 pounds (92.7 kg), resulting in a body mass
index (BMI) of approximately 31 kg/m², classifying him as obese class I.
Age and obesity significantly increase the risk for metabolic syndrome, type 2 diabetes
mellitus, cardiovascular disease, and renal impairment. These demographic factors elevate
the clinical concern when nonspecific symptoms such as fatigue and nausea are present.
Older adults often experience diminished physiological reserves, making early recognition
of systemic illness critical.
Comprehensive Emergency Room Clinical Case
Analysis
Title:
Comprehensive i-Human Clinical Case Study: Evaluation of Nausea and
Fatigue in an Elderly Male Patient
Course: i-Human Clinical Simulation
Week: 7
Setting: Emergency Department
Student Name: __________________
Institution: __________________
Date: __________________
,INTRODUCTION & BACKGROUND
Clinical simulations such as i-Human provide an essential bridge between theoretical
knowledge and real-world clinical reasoning. Elderly patients frequently present with
vague, nonspecific symptoms that can mask serious underlying pathology. Symptoms
such as nausea and fatigue, while common, require a systematic and cautious diagnostic
approach due to the increased prevalence of chronic disease, polypharmacy, and atypical
presentations in older adults.
This case study focuses on a 65-year-old male presenting to the emergency department
with nausea and fatigue. The analysis demonstrates comprehensive history taking,
physical examination, diagnostic reasoning, differential diagnosis development, and
evidence-based management. Emphasis is placed on ruling out life-threatening conditions
while identifying metabolic and systemic causes.
, PATIENT PROFILE AND DEMOGRAPHICS
The patient is a 65-year-old male who presents to the emergency department. His height is
5 feet 8 inches (173 cm) and weight is 204 pounds (92.7 kg), resulting in a body mass
index (BMI) of approximately 31 kg/m², classifying him as obese class I.
Age and obesity significantly increase the risk for metabolic syndrome, type 2 diabetes
mellitus, cardiovascular disease, and renal impairment. These demographic factors elevate
the clinical concern when nonspecific symptoms such as fatigue and nausea are present.
Older adults often experience diminished physiological reserves, making early recognition
of systemic illness critical.
