Comprehensive Clinical Case Study: 45-Year-Old
Female with Chronic Abdominal Pain – Complete
Assessment, Differential Diagnosis, Final Diagnosis,
Treatment Plan, and Expert Feedback
,
, Introduction – iHuman Case Study: Karen Floyd, 45-
Year-Old Female with Abdominal Pain
Patient Name: Karen Floyd
Age: 45 years
Gender: Female
Chief Complaint: “I've been having abdominal pain on and off for years.”
Date of Encounter: [Insert Date of Encounter if known]
Source of History: Patient (reliable historian)
Reason for Visit:
Karen Floyd, a 45-year-old woman, presents to the clinic with a chief complaint of intermittent
abdominal pain that she reports has been ongoing for approximately ten years. She seeks
medical evaluation due to increasing discomfort and disruption in daily activities, including
dietary habits and quality of life.
Initial Clinical Impression:
Ms. Floyd’s abdominal pain is described as cramping and intermittent, with associated
bloating, altered bowel habits, and gas. These symptoms suggest a chronic gastrointestinal
condition. Given her stable vital signs, absence of alarming features such as weight loss or
gastrointestinal bleeding, and a benign physical exam, the case appears consistent with a
functional bowel disorder, most notably Irritable Bowel Syndrome (IBS).
Context & Learning Objectives:
This iHuman case is designed to challenge the learner to:
• Perform a detailed history and physical exam.
• Develop an evidence-based differential diagnosis for chronic abdominal pain.
• Order and interpret appropriate diagnostic tests.
• Formulate a comprehensive treatment plan, including both pharmacological and
lifestyle interventions.
• Practice clinical reasoning skills in the context of common but often misdiagnosed
conditions like IBS.
Female with Chronic Abdominal Pain – Complete
Assessment, Differential Diagnosis, Final Diagnosis,
Treatment Plan, and Expert Feedback
,
, Introduction – iHuman Case Study: Karen Floyd, 45-
Year-Old Female with Abdominal Pain
Patient Name: Karen Floyd
Age: 45 years
Gender: Female
Chief Complaint: “I've been having abdominal pain on and off for years.”
Date of Encounter: [Insert Date of Encounter if known]
Source of History: Patient (reliable historian)
Reason for Visit:
Karen Floyd, a 45-year-old woman, presents to the clinic with a chief complaint of intermittent
abdominal pain that she reports has been ongoing for approximately ten years. She seeks
medical evaluation due to increasing discomfort and disruption in daily activities, including
dietary habits and quality of life.
Initial Clinical Impression:
Ms. Floyd’s abdominal pain is described as cramping and intermittent, with associated
bloating, altered bowel habits, and gas. These symptoms suggest a chronic gastrointestinal
condition. Given her stable vital signs, absence of alarming features such as weight loss or
gastrointestinal bleeding, and a benign physical exam, the case appears consistent with a
functional bowel disorder, most notably Irritable Bowel Syndrome (IBS).
Context & Learning Objectives:
This iHuman case is designed to challenge the learner to:
• Perform a detailed history and physical exam.
• Develop an evidence-based differential diagnosis for chronic abdominal pain.
• Order and interpret appropriate diagnostic tests.
• Formulate a comprehensive treatment plan, including both pharmacological and
lifestyle interventions.
• Practice clinical reasoning skills in the context of common but often misdiagnosed
conditions like IBS.
