Comprehensive Case Study: i-Human (2026) WARDEN
UNIVERSITY Week #9 Jessica Miller – 30-Year-Old
with Ruptured Tubal Ectopic Pregnancy and IUD
,Patient Profile
Name: Jessica Miller
Age: 30 years old
Gender: Female
Height: 5'3" (160 cm)
Weight: 136.0 lb (61.8 kg)
Marital Status: Married
Occupation: Graphic Designer
Living Situation: Lives with husband
Reason for Encounter: Lower abdominal pain and
spotting
Location: Emergency room – Initial triage and
laboratory capabilities
Case Mode: Learning Mode (feedback after each
section; 1 attempt)
Chief Complaint (CC)
"Sharp pain in my lower belly and light bleeding for one
day."
History of Present Illness (HPI)
Sharp, intermittent right lower quadrant (RLQ)/suprapubic
pain (7/10), crampy with sharp exacerbations, started 3
days ago. Light vaginal spotting (dark red/brown, 2 days).
Mild nausea, fatigue, breast tenderness, lightheadedness.
No vomiting, fever, chills, syncope, shoulder pain, dysuria,
, or heavy bleeding. LMP ~6 weeks ago (regular 28–30 day
cycles). Sexually active with husband; inconsistent condom
use; "not trying, not preventing."
Obstetric/Gynecologic History
G4P1A2L1 (Gravida 4, Para 1 live birth via
spontaneous vaginal delivery 4 years ago, 2 first-
trimester spontaneous abortions at ages 26 and 28)
Last Pap smear 1–2 years ago, normal
STI: Chlamydia treated at age 24 (possible PID risk)
No prior ectopic, infertility treatments, or current
hormonal contraception
Past Medical History (PMH)
Mild childhood asthma (resolved by adolescence; no
symptoms/meds >15 years)
Occasional mild iron-deficiency anemia in early 20s
(resolved with oral iron; no recurrence)
Negative for: Hypertension, diabetes, thyroid disease,
autoimmune conditions, coagulopathies, malignancy,
PCOS, renal/hepatic disease
Past Surgical History (PSH)
Appendectomy at age 18 (uncomplicated; well-healed
RLQ scar)
UNIVERSITY Week #9 Jessica Miller – 30-Year-Old
with Ruptured Tubal Ectopic Pregnancy and IUD
,Patient Profile
Name: Jessica Miller
Age: 30 years old
Gender: Female
Height: 5'3" (160 cm)
Weight: 136.0 lb (61.8 kg)
Marital Status: Married
Occupation: Graphic Designer
Living Situation: Lives with husband
Reason for Encounter: Lower abdominal pain and
spotting
Location: Emergency room – Initial triage and
laboratory capabilities
Case Mode: Learning Mode (feedback after each
section; 1 attempt)
Chief Complaint (CC)
"Sharp pain in my lower belly and light bleeding for one
day."
History of Present Illness (HPI)
Sharp, intermittent right lower quadrant (RLQ)/suprapubic
pain (7/10), crampy with sharp exacerbations, started 3
days ago. Light vaginal spotting (dark red/brown, 2 days).
Mild nausea, fatigue, breast tenderness, lightheadedness.
No vomiting, fever, chills, syncope, shoulder pain, dysuria,
, or heavy bleeding. LMP ~6 weeks ago (regular 28–30 day
cycles). Sexually active with husband; inconsistent condom
use; "not trying, not preventing."
Obstetric/Gynecologic History
G4P1A2L1 (Gravida 4, Para 1 live birth via
spontaneous vaginal delivery 4 years ago, 2 first-
trimester spontaneous abortions at ages 26 and 28)
Last Pap smear 1–2 years ago, normal
STI: Chlamydia treated at age 24 (possible PID risk)
No prior ectopic, infertility treatments, or current
hormonal contraception
Past Medical History (PMH)
Mild childhood asthma (resolved by adolescence; no
symptoms/meds >15 years)
Occasional mild iron-deficiency anemia in early 20s
(resolved with oral iron; no recurrence)
Negative for: Hypertension, diabetes, thyroid disease,
autoimmune conditions, coagulopathies, malignancy,
PCOS, renal/hepatic disease
Past Surgical History (PSH)
Appendectomy at age 18 (uncomplicated; well-healed
RLQ scar)
