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I HUMAN CASE STUDY FOR KEN FOLWER 70 YEARS OLD
MALE; WEEK #7 - CONDITIONS OF THE RENAL AND
GENITOURINARY SYSTEMS, NRNP 6550: ADVANCED CARE
OF ADULTS IN ACUTE SETTINGS II I-HUMAN FOR KEN
FOWLER VERSION 5|| LATEST VERSION 2025 GRADED A+
Week #7: Week #7 - Conditions of the Renal and Genitourinary Systems
NRNP 6550: Advanced Care of Adults in Acute Settings II i-Human: Ken Fowler V5
Name: Ken Fowler
Age: 70 years
Sex: M
Ht: 5'10" (178.0 cm)
Wgt: 190 lb (86.0 kg) (BMI 27.3)
NOTES FROM i-HUMAN ASSESSMENT:
@
1) Observations: warm and sweaty
2) Chief complaint: Nausea and fatigue
Ap
QUESTIONS: (ASK THE PATIENT UP TO 100 QUESTIONS)
1) How can I help you today? "I went to see my doctor this morning because I have been
feeling bad for the past few days. I'm tired, with nausea & vomiting. Well, he examined me and
ordered some labs, and then told me that "kidneys are failing," something about a big change in
lu
my creatinine and that I needed to come to the emergency department. He told me to bring the
test results here with me. [Test results today: creatinine 3.2 mg/dL; 1 month ago Test results 1.1
mg/dL; urine protein = 400 mg microalbuminuria] Do you understand what all that means? I sure
ss
don't!"
2) Do you have any other symptoms or concerns we should discuss? I also feel
exhausted, probably from all the vomiting and not eating.
tu
3) When did your nausea start? It started three days ago, I woke up feeling nauseous
and started throwing up everything I ate.
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4) What are the events surrounding this start of your nausea and vomiting? Nothing
really happened that I can think of.
5) Do you have difficulty breathing? Uh… no.
6) When do you fatigue start? Just the last few days.
7) Do you have a problem with fatigue/tiredness? Yup
8) Does your fatigue come and go? No.
9) Have you gained or lost weight or intentionally, despite normal appetite and
exercise? Uh… no.
10) Have you gained weight? No.
11) Has there been a change in your urination frequency? Actually, I have been peening less
recently.
12) What is the color of urine, has it changed recently? It's usually fine, but I have been
peeing less recently
13) Does anything make your fatigue/tiredness better or worse? No.
14) Do you have pain anywhere? If so where? I hurt my back last week, but that's fine now.
15) Have you noticed swelling in any part of your body? No
@
16) Can you tell me about any current or past medical problems she had? I have high blood
pressure. I take medications for that. I was told last month my blood pressure has caused some
kidney damage. Something about my protein in my urine. Oh, about a week ago I pulled my
back lifting a heavy carton when I was cleaning out my garage. It was pretty painful so I took
Ap
something for the pain. My back is really pretty good right now, but then this nausea vomiting
began.
17) Any previous medical, surgical, or dental procedures? Yes. I had my tonsils out as a kid
and then my appendix out about 35 years ago now.
lu
18) What treatments have you had for the pain in your back? Just Naproxen.
19) Are you taking any prescription medications? I take lisinopril, metoprolol, and
ss
hydrochlorothiazide for BP. I have not taken anything for the last 24 hours because I feel so sick,
can’t keep the pills down.
20) Do you have any pain in your back? Not anymore
tu
21) When you urinate, have you noticed any pain, burning, blood, difficulty starting or
stopping, dribbling, incontinence, urgency during day or night, or any changes in frequency? Uh,
no. In fact, I am barely peeing at all.
v ia
, 3|Page
22) When are the events surrounding the start of your difficulty urinating? That’s not a
problem for me.
23) When you pee, is a stream or flow of urine weak or do you dribble? No
24) Do you have problems with nausea, vomiting, constipation, diarrhea, coffee grounds in
your vomit, dark tarry stool, bright red blood in your bowel movements, early satiety or
bloating? Yes, I have already told you about my nausea and vomiting. But none of the other
stuff. My poop is normal
25) How severe is your nausea and/or vomiting? I have not eaten much of anything in the last
three days, so I am not sure how to answer that question. Vomiting is and miserable business so
for me it is bad.
26) Does anything make your nausea and/or vomiting better or worse? It does get worse
when I eat, that's why I haven't eaten much.
27) What treatments have you had for nausea and/or vomiting? Nothing
28) Do you have any problems with fatigue, difficulty sleeping, or intentional weight loss or
gain, fevers, or night sweats? Yeah I feel exhausted, but I think it is because of my nausea… just
keeps me up at night. No fevers
29) Does your fatigue/tiredness improve after a good night's rest? No
30) What does your vomit look like? Clear or residual food particles, but I haven't eaten for
over 24 hours
@
31) When do you nausea and/or vomiting start? It started 3 days ago, I woke up feeling
nauseous and started throwing up everything I ate.
32) Do you have diabetes? Uh… no.
Ap
33) What are the events surrounding the start of your back pain? I picked up a box the wrong
way.
lu
34) When was the last physical? Don't remember
35) Do you have kidney problems? Not up to now. My doctor sent me here because he was
worried about that.
ss
HINT: 1 of 5
tu
You have asked 10 key questions. 23 key questions remain. You need:
• 4 more in Patient Orientation
v ia
I HUMAN CASE STUDY FOR KEN FOLWER 70 YEARS OLD
MALE; WEEK #7 - CONDITIONS OF THE RENAL AND
GENITOURINARY SYSTEMS, NRNP 6550: ADVANCED CARE
OF ADULTS IN ACUTE SETTINGS II I-HUMAN FOR KEN
FOWLER VERSION 5|| LATEST VERSION 2025 GRADED A+
Week #7: Week #7 - Conditions of the Renal and Genitourinary Systems
NRNP 6550: Advanced Care of Adults in Acute Settings II i-Human: Ken Fowler V5
Name: Ken Fowler
Age: 70 years
Sex: M
Ht: 5'10" (178.0 cm)
Wgt: 190 lb (86.0 kg) (BMI 27.3)
NOTES FROM i-HUMAN ASSESSMENT:
@
1) Observations: warm and sweaty
2) Chief complaint: Nausea and fatigue
Ap
QUESTIONS: (ASK THE PATIENT UP TO 100 QUESTIONS)
1) How can I help you today? "I went to see my doctor this morning because I have been
feeling bad for the past few days. I'm tired, with nausea & vomiting. Well, he examined me and
ordered some labs, and then told me that "kidneys are failing," something about a big change in
lu
my creatinine and that I needed to come to the emergency department. He told me to bring the
test results here with me. [Test results today: creatinine 3.2 mg/dL; 1 month ago Test results 1.1
mg/dL; urine protein = 400 mg microalbuminuria] Do you understand what all that means? I sure
ss
don't!"
2) Do you have any other symptoms or concerns we should discuss? I also feel
exhausted, probably from all the vomiting and not eating.
tu
3) When did your nausea start? It started three days ago, I woke up feeling nauseous
and started throwing up everything I ate.
v ia
,2|Page
4) What are the events surrounding this start of your nausea and vomiting? Nothing
really happened that I can think of.
5) Do you have difficulty breathing? Uh… no.
6) When do you fatigue start? Just the last few days.
7) Do you have a problem with fatigue/tiredness? Yup
8) Does your fatigue come and go? No.
9) Have you gained or lost weight or intentionally, despite normal appetite and
exercise? Uh… no.
10) Have you gained weight? No.
11) Has there been a change in your urination frequency? Actually, I have been peening less
recently.
12) What is the color of urine, has it changed recently? It's usually fine, but I have been
peeing less recently
13) Does anything make your fatigue/tiredness better or worse? No.
14) Do you have pain anywhere? If so where? I hurt my back last week, but that's fine now.
15) Have you noticed swelling in any part of your body? No
@
16) Can you tell me about any current or past medical problems she had? I have high blood
pressure. I take medications for that. I was told last month my blood pressure has caused some
kidney damage. Something about my protein in my urine. Oh, about a week ago I pulled my
back lifting a heavy carton when I was cleaning out my garage. It was pretty painful so I took
Ap
something for the pain. My back is really pretty good right now, but then this nausea vomiting
began.
17) Any previous medical, surgical, or dental procedures? Yes. I had my tonsils out as a kid
and then my appendix out about 35 years ago now.
lu
18) What treatments have you had for the pain in your back? Just Naproxen.
19) Are you taking any prescription medications? I take lisinopril, metoprolol, and
ss
hydrochlorothiazide for BP. I have not taken anything for the last 24 hours because I feel so sick,
can’t keep the pills down.
20) Do you have any pain in your back? Not anymore
tu
21) When you urinate, have you noticed any pain, burning, blood, difficulty starting or
stopping, dribbling, incontinence, urgency during day or night, or any changes in frequency? Uh,
no. In fact, I am barely peeing at all.
v ia
, 3|Page
22) When are the events surrounding the start of your difficulty urinating? That’s not a
problem for me.
23) When you pee, is a stream or flow of urine weak or do you dribble? No
24) Do you have problems with nausea, vomiting, constipation, diarrhea, coffee grounds in
your vomit, dark tarry stool, bright red blood in your bowel movements, early satiety or
bloating? Yes, I have already told you about my nausea and vomiting. But none of the other
stuff. My poop is normal
25) How severe is your nausea and/or vomiting? I have not eaten much of anything in the last
three days, so I am not sure how to answer that question. Vomiting is and miserable business so
for me it is bad.
26) Does anything make your nausea and/or vomiting better or worse? It does get worse
when I eat, that's why I haven't eaten much.
27) What treatments have you had for nausea and/or vomiting? Nothing
28) Do you have any problems with fatigue, difficulty sleeping, or intentional weight loss or
gain, fevers, or night sweats? Yeah I feel exhausted, but I think it is because of my nausea… just
keeps me up at night. No fevers
29) Does your fatigue/tiredness improve after a good night's rest? No
30) What does your vomit look like? Clear or residual food particles, but I haven't eaten for
over 24 hours
@
31) When do you nausea and/or vomiting start? It started 3 days ago, I woke up feeling
nauseous and started throwing up everything I ate.
32) Do you have diabetes? Uh… no.
Ap
33) What are the events surrounding the start of your back pain? I picked up a box the wrong
way.
lu
34) When was the last physical? Don't remember
35) Do you have kidney problems? Not up to now. My doctor sent me here because he was
worried about that.
ss
HINT: 1 of 5
tu
You have asked 10 key questions. 23 key questions remain. You need:
• 4 more in Patient Orientation
v ia
