TAMIKA BRAYTON
,Complete 24-Page Clinical Case Study
Original i-Human-Style Simulation — Flank Pain
PAGE 1 — PATIENT PROFILE
Patient Name: Tamika Brayton
Age: 33 years
Sex: Female
Height: 5'6" (168 cm)
Weight: 130 lb (59.1 kg)
Reason for Encounter: Left flank pain
Setting: Outpatient/urgent-care clinical evaluation
Chief Complaint:
“My left side really hurts.”
Primary Concern:
Acute left-sided flank pain with intermittent waves of severe discomfort.
Initial Clinical Impression:
The presentation requires evaluation for renal, urinary, gastrointestinal,
gynecologic, and musculoskeletal causes of flank pain.
PAGE 2 — HISTORY OF PRESENT
ILLNESS
Tamika Brayton is a 33-year-old woman who presents with acute left-sided flank
pain that began suddenly approximately one day ago.
She reports that the pain initially started as a dull discomfort in the left flank but
progressively became more severe. The pain occurs in waves, with periods of
increased intensity followed by brief periods of partial relief.
She describes the pain as sharp and cramping and states that at its worst it is 9/10.
, The pain radiates toward the left lower abdomen and groin.
She reports associated nausea but has not had persistent vomiting.
She denies recent trauma.
She reports no recent strenuous exercise or heavy lifting.
PAGE 3 — ASSOCIATED SYMPTOMS
Positive findings:
• Left flank pain
• Intermittent severe pain
• Radiation toward the lower abdomen/groin
• Nausea
• Urinary discomfort
• Visible change in urine color
Negative findings:
• No chest pain
• No shortness of breath
• No syncope
• No persistent vomiting
• No diarrhea
• No constipation
• No recent trauma
• No known fever
• No chills
• No vaginal bleeding
• No abnormal vaginal discharge
The patient reports that the pain is not relieved by changing position.
PAGE 4 — PAST MEDICAL HISTORY
,Complete 24-Page Clinical Case Study
Original i-Human-Style Simulation — Flank Pain
PAGE 1 — PATIENT PROFILE
Patient Name: Tamika Brayton
Age: 33 years
Sex: Female
Height: 5'6" (168 cm)
Weight: 130 lb (59.1 kg)
Reason for Encounter: Left flank pain
Setting: Outpatient/urgent-care clinical evaluation
Chief Complaint:
“My left side really hurts.”
Primary Concern:
Acute left-sided flank pain with intermittent waves of severe discomfort.
Initial Clinical Impression:
The presentation requires evaluation for renal, urinary, gastrointestinal,
gynecologic, and musculoskeletal causes of flank pain.
PAGE 2 — HISTORY OF PRESENT
ILLNESS
Tamika Brayton is a 33-year-old woman who presents with acute left-sided flank
pain that began suddenly approximately one day ago.
She reports that the pain initially started as a dull discomfort in the left flank but
progressively became more severe. The pain occurs in waves, with periods of
increased intensity followed by brief periods of partial relief.
She describes the pain as sharp and cramping and states that at its worst it is 9/10.
, The pain radiates toward the left lower abdomen and groin.
She reports associated nausea but has not had persistent vomiting.
She denies recent trauma.
She reports no recent strenuous exercise or heavy lifting.
PAGE 3 — ASSOCIATED SYMPTOMS
Positive findings:
• Left flank pain
• Intermittent severe pain
• Radiation toward the lower abdomen/groin
• Nausea
• Urinary discomfort
• Visible change in urine color
Negative findings:
• No chest pain
• No shortness of breath
• No syncope
• No persistent vomiting
• No diarrhea
• No constipation
• No recent trauma
• No known fever
• No chills
• No vaginal bleeding
• No abnormal vaginal discharge
The patient reports that the pain is not relieved by changing position.
PAGE 4 — PAST MEDICAL HISTORY
