I-Human Week 9 NUR 2026: 30-Year-Old Female with Lower Abdominal Pain & Vaginal Spotting - Complete OB/GYN Case Study, SOAP Note, Differential Diagnosis, Treatment Plan & Clinical Reasoning Guide 30-Year-Old Female with Lower Abdominal Pain and Vaginal Spotting 1. Patient Demographics & Chief Complaint Name: Sarah Jenkins Age: 30 years DOB: April 12, 1995 Sex: Female Race/Ethnicity: Caucasian / Non-Hispanic MRN: 987654 Date of Visit: February 15, 2026 Location: University Family Medicine Clinic Source of Information: Self (Patient is reliable, alert, and oriented) Chief Complaint (Patient's Own Words): "I've had cramping in my lower stomach for two days and I'm spotting when I wipe." 2. History of Presenting Illness (HPI) - Detailed Sarah presents to the clinic today for evaluation of lower abdominal pain and vaginal spotting. She states that her symptoms began approximately 48 hours ago. The pain is characterized as a dull, intermittent cramping sensation localized to the suprapubic region. She rates the pain as 4 out of 10 on a numeric pain scale. The pain does not radiate to her back, flanks, or thighs. She has not identified any alleviating factors; lying down does not significantly change the intensity. She tried taking Ibuprofen 400mg once yesterday, which