,Patient Information
Name: Ethan Carter
Age: 13 years old
Gender: Male
Setting: Outpatient Primary Care Clinic with laboratory and
ultrasound capabilities
Chief Complaint: “My testicle hurts, and it’s been bad since
yesterday.”
Reason for Encounter: Testicular pain
History of Present Illness (HPI)Narrative: Ethan Carter, a 13-year-old
Caucasian male, presents to the outpatient primary care clinic with a
24-hour history of acute left testicular pain. He describes the pain as
sharp, constant, and severe (8/10), localized to the left scrotum,
, radiating to the lower abdomen. The pain began suddenly while playing
soccer yesterday and has worsened, making walking difficult.
Associated symptoms include nausea and one episode of vomiting this
morning, but he denies fever, chills, dysuria, hematuria, or penile
discharge. Ethan reports no recent trauma, though he notes a possible
minor kick to the groin during the game. He denies sexual activity,
recent infections, or changes in bowel habits. The pain is unrelieved by
rest or over-the-counter ibuprofen (400 mg taken once, minimal
effect). Ethan has no significant medical history, surgeries, or allergies.
He takes no regular medications. He is an active middle school student,
plays soccer, and denies tobacco, alcohol, or drug use. His family
history is unremarkable for testicular issues or cancers. Ethan lives with
his parents and is accompanied by his mother, who is concerned about
a serious condition like testicular torsion, as she read about it online.
Ethan is anxious about the pain and missing soccer practice, fearing a
prolonged recovery.History Questions Asked (Simulated iHuman
Screening):
Name: Ethan Carter
Age: 13 years old
Gender: Male
Setting: Outpatient Primary Care Clinic with laboratory and
ultrasound capabilities
Chief Complaint: “My testicle hurts, and it’s been bad since
yesterday.”
Reason for Encounter: Testicular pain
History of Present Illness (HPI)Narrative: Ethan Carter, a 13-year-old
Caucasian male, presents to the outpatient primary care clinic with a
24-hour history of acute left testicular pain. He describes the pain as
sharp, constant, and severe (8/10), localized to the left scrotum,
, radiating to the lower abdomen. The pain began suddenly while playing
soccer yesterday and has worsened, making walking difficult.
Associated symptoms include nausea and one episode of vomiting this
morning, but he denies fever, chills, dysuria, hematuria, or penile
discharge. Ethan reports no recent trauma, though he notes a possible
minor kick to the groin during the game. He denies sexual activity,
recent infections, or changes in bowel habits. The pain is unrelieved by
rest or over-the-counter ibuprofen (400 mg taken once, minimal
effect). Ethan has no significant medical history, surgeries, or allergies.
He takes no regular medications. He is an active middle school student,
plays soccer, and denies tobacco, alcohol, or drug use. His family
history is unremarkable for testicular issues or cancers. Ethan lives with
his parents and is accompanied by his mother, who is concerned about
a serious condition like testicular torsion, as she read about it online.
Ethan is anxious about the pain and missing soccer practice, fearing a
prolonged recovery.History Questions Asked (Simulated iHuman
Screening):
