“I’M PEEING A LOT AND IT HURTS.”LOCATION; OUTPATIENT CLINIC
WITH XRAY, ECG, AND LAB SERVICES 2025-2026
i-HUMAN CASE STUDY WEEK*7 16 YEARS OLD CHIEF
COMPLAINT: “I’M PEEING A LOT AND IT
HURTS.”LOCATION: OUTPATIENT CLINIC WITH XRAY,
ECG, AND LAB SERVICES 2025-2026
, i-HUMAN CASE STUDY WEEK*7 16 YEARS OLD CHIEF COMPLAINT;
“I’M PEEING A LOT AND IT HURTS.”LOCATION; OUTPATIENT CLINIC
WITH XRAY, ECG, AND LAB SERVICES 2025-2026
• Age/Sex: 16-year-old female
• Height/Weight: 5'4", 125 lbs (56.8 kg)
• Reason for Encounter: Dysuria and increased urinary frequency
Setting: Outpatient clinic with diagnostic capabilities
Key Clinical Considerations
This presentation suggests several possible differential diagnoses:
Differential Diagnoses (DDx):
1. Urinary Tract Infection (UTI) – Most likely given dysuria and frequency
2. Sexually Transmitted Infection (STI) – Especially if there's sexual
activity history
3. Vaginitis (e.g., yeast infection, bacterial vaginosis)
4. Interstitial Cystitis – Less common in teens, but worth considering
5. Diabetes Mellitus – Could present with polyuria (get a glucose test)
6. Pregnancy – If sexually active, rule it out with a pregnancy test
, i-HUMAN CASE STUDY WEEK*7 16 YEARS OLD CHIEF COMPLAINT;
“I’M PEEING A LOT AND IT HURTS.”LOCATION; OUTPATIENT CLINIC
WITH XRAY, ECG, AND LAB SERVICES 2025-2026
Tests to Consider:
• Urinalysis (UA) with culture
• Urine hCG (if pregnancy is possible)
• Blood glucose
• STI screening (GC/Chlamydia NAAT)
• Pelvic exam (if needed based on history)
Next Steps:
You’ll want to:
• Gather a detailed history (sexual activity, menstrual history, hygiene,
prior UTIs, etc.)
• Perform a focused physical exam
• Order appropriate labs
• Develop a treatment plan based on findings (e.g., antibiotics for UTI)
i-Human Case Week #7 Preview Patient Overview:
• Age: 16 years old
• Height/Weight: 5'4" (163 cm), 125 lbs (56.8 kg)
• Chief Complaint: “I’m peeing a lot and it hurts.”
• Location: Outpatient clinic with x-ray, ECG, and lab services