Walden University Ihuman, Chamberlain University, Ihuman cases

Sally Smith iHuman Pyelonephritis (34 y/o with painful urination)

$30.00

34-year-old woman with type 1 diabetes mellitus presenting with urinary symptoms
Complaints include dysuria, frequency, urgency, dark-colored urine, right flank pain, decreased appetite
New onset chills and loss of glycemic control over the past 2 days
Physical exam shows fever (101.6°F), tachycardia (HR 110), orthostatic blood pressure, suprapubic tenderness, and positive right flank punch test
Past medical history notable for type 1 diabetes mellitus and renal calculi
Recent new male sexual partner with intermittent condom use, denies menstrual irregularity
Presentation consistent with pyelonephritis, requiring prompt evaluation and treatment- Healthy 12-month-old female infant presenting for routine well visit
Mother reports intermittent red, itchy skin patches on elbow creases and behind knees over past three weeks
Normal developmental milestones consistent with age
Growth tracking along the 50th percentile for height and weight
Physical examination reveals red patches on elbow creases and behind knees with no other abnormalities
No additional symptoms or concerns noted at this visit- 65-year-old female patient with no significant past medical history
Complains of insomnia, nervousness, and fatigue progressing over past few months
Reports occasional palpitations, heat intolerance, and unintentional weight loss despite increased appetite and food intake
Family history of maternal grandmother with “lazy thyroid”
Physical exam findings: tachycardia, lid lag, mildly enlarged, soft, nontender thyroid with palpable isthmus
Additional signs include hyperreflexia and fine hand tremor, indicating possible thyroid dysfunction such as hyperthyroidism