, Patient: John Smith (pseudonym), a 54-year-old Caucasian male
Chief Complaint: Persistent lower back pain for the past 12
months
Setting: Primary care clinic
Context: This case study is designed for Week 9 of a medical
education curriculum, focusing on chronic pain management,
differential diagnosis, and interdisciplinary care. The iHuman
platform emphasizes clinical reasoning, history-taking, physical
examination, and evidence-based decision-making.
Patient History
History of Present Illness (HPI)John Smith presents to the
primary care clinic complaining of lower back pain that began
approximately one year ago. He describes the pain as a dull ache
in the lumbar region, occasionally radiating to the right buttock