I-HUMAN CASE STUDY. REASON
FOR ENCOUNTER: PAIN WHEN I
PEE.
WITH A SOAP NOTE.
EXAM STUDY GUIDE. GRADED A+.
LATEST 2026/2027 UPDATE.
,1. HISTORY
Patient Demographics & Identifying Information
• Name: Faith Ward
• Age: 28-year-old
• Gender: Female
• Reason for Encounter: Pain when urinating
• Source of History: Patient
• Reliability: Patient appears able to provide information about her
current symptoms.
, Presenting Concern
Faith Ward presents with pain when urinating, describing discomfort
associated with passing urine. The urinary pain has become concerning enough
for her to seek medical evaluation.
She reports that urination is uncomfortable and that the symptoms are
affecting her normal routine. Her presentation raises concern for a possible
urinary tract infection or other urinary tract condition.
Current Symptoms
Faith's main complaint is pain or burning during urination. The discomfort is
specifically associated with voiding rather than being constant throughout the
day.
The history should also assess for associated urinary symptoms such as:
• Increased urinary frequency.
• Urinary urgency.
• Passing small amounts of urine.
• Lower abdominal or pelvic discomfort.
• Cloudy or strong-smelling urine.
• Blood in the urine.
Additional symptoms such as fever, chills, flank pain, nausea, or vomiting
would be important because they could suggest infection involving the upper
urinary tract rather than an uncomplicated bladder infection.
Relevant Background
• No specific previous urinary or kidney disease is provided in the available
case information.
• No recent urinary procedure or trauma is provided.
• Further history should clarify previous urinary tract infections, kidney
stones, medication use, allergies, sexual/genitourinary history where
clinically appropriate, and pregnancy possibility if relevant.