“Comprehensive i-Human Case Study
(Week #7, 2026): Evaluation and
Management of a 16-YearOld Female
Presenting with Acute Dysuria and
Urinary Frequency (“I’m peeing a lot and
it hurts.”) in an Outpatient Clinic”
,Comprehensive i-Human Case Study (Week #7, 2026)
Evaluation and Management of a 16-Year-Old Female
Presenting with Acute Dysuria and Urinary Frequency
Chief Complaint: “I’m peeing a lot and it hurts.”
Patient Introduction
A 16-year-old female presents to an outpatient primary care
clinic with acute urinary symptoms characterized by painful
urination and increased urinary frequency.
Chief Complaint (CC)
“I’m peeing a lot and it hurts.”
History of Present Illness (HPI)
The patient is a 16-year-old female who reports a two-day
history of dysuria and urinary frequency. She describes a
burning sensation that occurs during urination and is associated
with urgency and frequent small-volume voids. She reports mild
suprapubic discomfort but denies flank pain. The symptoms
began suddenly and have progressively worsened. She denies
fever, chills, nausea, vomiting, vaginal discharge, vaginal
itching, or abnormal odor. She has not taken any medications for
symptom relief. She denies a history of recurrent urinary tract
, infections. Sexual history is obtained in a confidential and
developmentally appropriate manner.
Relevant History Questions Asked (i-Human High-Yield)
The patient is asked about the onset, duration, and severity of
dysuria, whether the pain occurs during or after urination, the
presence of urinary urgency or hesitancy, hematuria, suprapubic
or flank pain, fever, chills, nausea, vomiting, and vaginal
symptoms. Menstrual history, sexual activity, use of
contraception, history of sexually transmitted infections, prior
urinary tract infections, and recent antibiotic use are also
assessed.
Review of Systems (ROS)
The patient denies fever, chills, fatigue, or weight loss.
Genitourinary review is positive for dysuria, urinary frequency,
and urgency, and negative for flank pain, hematuria, or
incontinence. Gastrointestinal review is negative for nausea,
vomiting, abdominal pain, or diarrhea. Gynecologic review is
negative for abnormal vaginal discharge, pelvic pain, or itching.
All other systems are reviewed and are negative.
Past Medical History
The patient has no known chronic medical conditions and no
history of recurrent urinary tract infections.
(Week #7, 2026): Evaluation and
Management of a 16-YearOld Female
Presenting with Acute Dysuria and
Urinary Frequency (“I’m peeing a lot and
it hurts.”) in an Outpatient Clinic”
,Comprehensive i-Human Case Study (Week #7, 2026)
Evaluation and Management of a 16-Year-Old Female
Presenting with Acute Dysuria and Urinary Frequency
Chief Complaint: “I’m peeing a lot and it hurts.”
Patient Introduction
A 16-year-old female presents to an outpatient primary care
clinic with acute urinary symptoms characterized by painful
urination and increased urinary frequency.
Chief Complaint (CC)
“I’m peeing a lot and it hurts.”
History of Present Illness (HPI)
The patient is a 16-year-old female who reports a two-day
history of dysuria and urinary frequency. She describes a
burning sensation that occurs during urination and is associated
with urgency and frequent small-volume voids. She reports mild
suprapubic discomfort but denies flank pain. The symptoms
began suddenly and have progressively worsened. She denies
fever, chills, nausea, vomiting, vaginal discharge, vaginal
itching, or abnormal odor. She has not taken any medications for
symptom relief. She denies a history of recurrent urinary tract
, infections. Sexual history is obtained in a confidential and
developmentally appropriate manner.
Relevant History Questions Asked (i-Human High-Yield)
The patient is asked about the onset, duration, and severity of
dysuria, whether the pain occurs during or after urination, the
presence of urinary urgency or hesitancy, hematuria, suprapubic
or flank pain, fever, chills, nausea, vomiting, and vaginal
symptoms. Menstrual history, sexual activity, use of
contraception, history of sexually transmitted infections, prior
urinary tract infections, and recent antibiotic use are also
assessed.
Review of Systems (ROS)
The patient denies fever, chills, fatigue, or weight loss.
Genitourinary review is positive for dysuria, urinary frequency,
and urgency, and negative for flank pain, hematuria, or
incontinence. Gastrointestinal review is negative for nausea,
vomiting, abdominal pain, or diarrhea. Gynecologic review is
negative for abnormal vaginal discharge, pelvic pain, or itching.
All other systems are reviewed and are negative.
Past Medical History
The patient has no known chronic medical conditions and no
history of recurrent urinary tract infections.
