i-Human Case Study of Evan Tyson a 65 Year Old, Reason For Encounter: Tired and Peeing at Night | Complete Analysis with All Sections Required | Updated for 2025

Evan Tyson s




History
Approach Question Response

CC Sx
s How can I help you today?
s s s s s I've been unusually tired for the
s s s s s




last few weeks... Well, maybe
s s s s s




longer, like a few months. I'm
s s s s s s




not sure. I think it is because I'm
s s s s s s s s




not getting any sleep because I
s s s s s s




have to get up and pee so much
s s s s s s s s




during the night. My wife has
s s s s s s




been telling me I needed to
s s s s s s




come and get it evaluated. She
s s s s s s




thought I might have
s s s s




something wrong with my
s s s s




kidneys.
s




CC Sx
s Istheamountyouurinate more
s s s s s It's got to be more since I have to
s s s s s s s s




or less than usual?
s s s s go so often
s s s




Assoc Sx
s Doyouhavepain/discomfort
s s s s No, just a whole lot of urinating
s s s s s s




when you urinate?
s s s




Assoc Sx
s Do you have difficulty getting or Both...embarrassingtohave to
s s s s s s s s s




keepinganerection(erectile
s admit thats s s s s




dysfunction)?
s




Assoc Sx
s Do you have any other symptoms My wife said I should also tell
s s s s s s s s s s s




orconcernswe should discuss?
s s you my vision sometimes gets a
s s s s s s s s s




bit blurry. Also, this is kind of s s s s s s s




embarrassing, but I've had s s s s




some recent problems with sex. s s s s s




You know, "getting it up" s s s s s




Assoc Sx
s Anytinglingornumbness in your I notice I have like a
s s s s s s s s s s




feet?
s pins-and-needles sensation in s s




myfeetmoreoften.Youknow, s s s s s s




like my feet "went to sleep." On s s s s s s s




the soles mostly s s s

, Assoc Sxs Have you gained or lost weight
s s s s s Well, when I retired, I started s s s s s




unintentionally,despite normal
s s s sitting around too much and
s s s s s




appetite and exercise?
s s s gained quite a bit of weight,
s s s s s s




tipped the scales at about 220.
s s s s s s




But, over the last couple of
s s s s s s




weeks, I've lost 4-5 pounds
s s s s s




without really trying. It's
s s s s




weird... the funny thing is that I
s s s s s s s




have been eating a lot and not
s s s s s s s




sure how that happened.
s s s s




Maybe it's all water weight I've
s s s s s s




been losing peeing. What do
s s s s s




you think?
s s




Etiology Howmuchwater/fluidsdo you
s s s s s About 4 liters a day s s s s




drink in a day?
s s s s




Etiology Howisyour appetite?Any recent It's definitely increased
s s s s s s s




change?
s




Onset Whendidyourerectile s s s Probably a fewmonths back. I s s s s s




dysfunction start?
s s can't quite remember. I first
s s s s s




thought it was due to my just
s s s s s s s




being tired.
s s




Characteristics Any change in your thirst?
s s s s Youbet.I'vebeendrinking
s s s s




water like it's going out of
s s s s s s




business
s




Characteristics What is the color of your urine and Verylightincolor.Isthat normal?
s s s s s s s s s s s s s




has it changed recently?
s s s s




Relieving Doglasseshelpyourvision
s s s s Hasn't seemedtomakeany s s s s




problem?
s difference
s




Timing/Treatments Has there been any change in your Yeah. I seemto have to pee all the
s s s s s s s s s s s s s s




urination frequency?
s time. Especially at night. I'm
s s s s s s




getting up 3 or 4 times a night s s s s s s s s




and peeing large volumes! And s s s s s




I'm peeing like 7 or 8 times s s s s s s s




during the day too. Ridiculous! s s s s s