IHUMAN CASE WEEK #7 (62Y/O,185CM) | REASON FOR ENCOUNTER I’M
PEEING ALL THE TIME | LATEST EXAM UPDATE
i-Human Case Week #7: 62-Year-Old Male – “I’m Peeing All the Time”
Setting: Outpatient Clinic (with lab, ECG, and radiology facilities)
Student Nurse Case Report
, SOAP Note
S – Subjective
Chief Complaint (CC):
“I’m peeing all the time.”
History of Present Illness (HPI):
Mr. James Roberts (pseudonym), a 62-year-old male, presents with progressive urinary frequency
and nocturia for the past 4 months. He voids every 1–2 hours during the day and 3–4 times nightly.
The urinary stream is weak, with post-void dribbling and sensation of incomplete emptying. He
denies dysuria, hematuria, flank pain, or fever. He reports mild lower-abdominal pressure but no
acute pain. No weight loss, thirst, or change in appetite noted.
Past Medical History (PMH):
• Mild hypertension × 8 years
• No diabetes, kidney disease, or prior urinary retention episodes
Medications:
• Hydrochlorothiazide 25 mg daily
• Amlodipine 5 mg daily
Allergies:
• NKDA
Family History (FH):
• Father diagnosed with prostate enlargement at age 68
• Mother with type 2 diabetes
Social History (SH):
• Retired accountant; married
• Non-smoker, occasional wine
• Moderate coffee intake (2–3 cups/day)
• No illicit drug use
Review of Systems (ROS):
• GU: Frequency, nocturia, weak stream, dribbling
• Constitutional: No fever, weight loss, fatigue mild
• Endocrine: No polyphagia or polydipsia
• GI: Normal appetite, no constipation
• Neuro: No weakness or paresthesia
PEEING ALL THE TIME | LATEST EXAM UPDATE
i-Human Case Week #7: 62-Year-Old Male – “I’m Peeing All the Time”
Setting: Outpatient Clinic (with lab, ECG, and radiology facilities)
Student Nurse Case Report
, SOAP Note
S – Subjective
Chief Complaint (CC):
“I’m peeing all the time.”
History of Present Illness (HPI):
Mr. James Roberts (pseudonym), a 62-year-old male, presents with progressive urinary frequency
and nocturia for the past 4 months. He voids every 1–2 hours during the day and 3–4 times nightly.
The urinary stream is weak, with post-void dribbling and sensation of incomplete emptying. He
denies dysuria, hematuria, flank pain, or fever. He reports mild lower-abdominal pressure but no
acute pain. No weight loss, thirst, or change in appetite noted.
Past Medical History (PMH):
• Mild hypertension × 8 years
• No diabetes, kidney disease, or prior urinary retention episodes
Medications:
• Hydrochlorothiazide 25 mg daily
• Amlodipine 5 mg daily
Allergies:
• NKDA
Family History (FH):
• Father diagnosed with prostate enlargement at age 68
• Mother with type 2 diabetes
Social History (SH):
• Retired accountant; married
• Non-smoker, occasional wine
• Moderate coffee intake (2–3 cups/day)
• No illicit drug use
Review of Systems (ROS):
• GU: Frequency, nocturia, weak stream, dribbling
• Constitutional: No fever, weight loss, fatigue mild
• Endocrine: No polyphagia or polydipsia
• GI: Normal appetite, no constipation
• Neuro: No weakness or paresthesia