SIMPLE

Cases
Instructors' Area
SIMPLE Exam FAQs

Simulated Internal Medicine Patient Learning Experience (SIMPLE) is iInTIME's virtual patient program for the Internal Medicine clerkship.

SIMPLE’s 36 interactive virtual patient cases are designed to encompass the learning objectives of the Clerkship Directors in Internal Medicine (CDIM)-Society for General Internal Medicine Core Medicine Clerkship Curriculum Guide Version 3.0 comprehensively. Although designed for use by third-year medical students, SIMPLE is an excellent learning tool for many other health care professionals.

Case List

Case 1: 49-year-old man with chest pain - Mr. Monson
Author: James L. Nixon M.D., University of Minnesota Medical School
Editor: Martin Muntz, M.D., Medical College of Wisconsin

Case 2: 60-year-old woman with episodic chest discomfort – Ms. Johnston
Author: Kirk A. Bronander M.D., University of Nevada School of Medicine
Editor: Mark Allee, M.D., University of Oklahoma

Case 3: 54-year-old woman with syncope - Mrs. Koda
Author: Robert W. Neilson M.D., Texas Tech University Health Sciences Center
Editor: Alpesh Amin, M.D., University of California Irvine School of Medicine

Case 4: 67-year-old woman with shortness of breath and leg swelling – Mrs. Rivers
Author: Parekha Yedla M.D., University of Alabama at Birmingham
Editor: Parekha Yedla M.D., University of Alabama at Birmingham

Case 5: 55-year-old man with fatigue – Mr. Kish
Author: Klara K. Papp PhD, Case Western Reserve University School of Medicine
Editor: Klara K. Papp PhD, Case Western Reserve University School of Medicine

Case 6: 45-year-old man with hypertension – Mr. Hicks
Author: Peter M. Gliatto M.D., Mount Sinai School of Medicine
Editor: Peter M. Gliatto M.D., Mount Sinai School of Medicine

Case 7: 24-year-old woman with lightheadedness - Ms. Williams
Co-Authors: Eric Goren, M.D., Jennifer Kogan, M.D., University of Pennsylvania
Editor: Eric Goren, M.D. University of Pennsylvania

Case 8: 55-year-old male with Type 2 diabetes mellitus– Mr. Morales
Author: Cynthia A. Burns M.D., Wake Forest University School of Medicine
Editor: Cynthia A. Burns M.D., Wake Forest University School of Medicine

Case 9: 55-year-old woman with upper abdominal pain and vomiting – Mrs. Turner
Author: Monica Shaw, M.D., University of Louisville
Editor: Monica Shaw, M.D., University of Louisville

Case 10: 48-year-old woman with diarrhea and dizziness - Ms. Blake
Author: Chris Knight M.D., University of Washington School of Medicine
Assisting Author: Jenny Wright, M.D., University of Washington School of Medicine
Editor: Amy Blatt, M.D., University of Rochester

Case 11: 45-year-old man with abnormal LFTs - Mr. Chapman (formerly case 11a)
Author: Charin Hanlon M.D., West Virginia University (Charleston Division)
Editor: Alita Mishra, M.D., VCU School of Medicine

Case 12: 55-year-old man with lower abdominal pain – Mr. Wilson
Author: Valerie J. Lang M.D, University of Rochester School of Medicine and Dentistry
Editor: Michael Elnicki, M.D., University of Pittsburgh School of Medicine

Case 13: 65-year-old woman seen for annual physical – Mrs. Thompson
Author: Carlos Palacio M.D., University of Florida College of Medicine - Jacksonville
Editor: Carlos Palacio M.D., University of Florida College of Medicine - Jacksonville

Case 14: 18-year-old woman seen for a pre-college physical – Ms. Pham
Author: Regina A. Kovach M.D., Southern Illinois University School of Medicine
Editor: Keith Hamilton, M.D., University of Pennsylvania Health Systems

Case 15: 50-year-old man with cough and nasal congestion - Mr. Taleb
Author: Jennifer Bierman M.D., Northwestern University Feinberg School of Medicine
Editor: Jennifer Bierman M.D., Northwestern University Feinberg School of Medicine

Case 16: 45-year-old man with obesity - Mr. James
Author: Nora L. Porter M.D., Saint Louis University School of Medicine
Editor: Nora L. Porter M.D., Saint Louis University School of Medicine

Case 17: 28-year-old male with rash - Mr. Moeller
Author: Cynthia H. Ledford M.D., Ohio State University College of Medicine
Editor: Cynthia H. Ledford M.D., Ohio State University College of Medicine

Case 18: 75-year-old man with memory problems - Mr. Caldwell
Author: Anne Eacker M.D., University of Washington School of Medicine
Assisting Author: Erin Fouch, University of Washington UW
Editor: Gretchen Diemer, M.D., Jefferson University

Case 19: 42-year-old woman with anemia - Ms. Winters
Author: Jennifer R. Kogan M.D., University of Pennsylvania School of Medicine
Editor: Jessica Salt, M.D., Jefferson University

Case 20: 48-year-old female with HIV - Ms. Hunt
Author: Irene Alexandraki M.D., University of Florida College of Medicine-Jacksonville
Editor: Irene Alexandraki M.D., University of Florida College of Medicine-Jacksonville

Case 21: 78-year-old man with fever, lethargy, and anorexia - Mr.  Ramirez
Author: Joseph T. Wayne M.D., Albany Medical College
Editor: Joseph T. Wayne M.D., Albany Medical College

Case 22: 71-year-old man with cough and fatigue - Mr. Groszek          
Author: Joseph Rencic M.D., New England Medical Center
Editor: David Bamberger M.D., University of Missouri, Kansas City

Case 23: 54-year-old woman with fatigue - Ms. Torres          
Author: Nina Mingioni M.D., Albert Einstein Medical Center
Editor: Pamela Fall, M.D., Medical College of Georgia

Case 24: 52-year-old female with headache, vomiting, and fever - Mrs. Cole
Author: Amy L. Holthouser, M.D., University of Louisville
Editor: Gary Ferenchick, M.D., Michigan State University College of Human Medicine

Case 25: 75-year-old hospitalized woman with confusion - Mrs. Kohn
Author: Valerie J. Lang M.D., University of Rochester School of Medicine and Dentistry
Editor: Sarang Kim, M.D., Robert Wood Johnson University Hospital

Case 26: 58-year-old man with altered mental status - Mr. Johnson
Author: Hari Raja, M.D., University of Texas Southwestern Medical Center at Dallas
Editor: Katherine Chretien, M.D., George Washington University School of Medicine

Case 27: 65-year-old man with back pain - Mr. Strout
Author: Susannah T. Clark, M.D., Dartmouth-Hitchcock Medical Center, Lebanon, NH
Editor: Deborah DeWaay, M.D., Medical University of South Carolina

Case 28: 70-year-old man with shortness of breath and leg swelling - Mr. Honig
Author: William F. Kelly, M.D., Uniformed Services University of the Health Services
Editor: William F. Kelly, M.D., Uniformed Services University of the Health Services

Case 29: 55-year-old woman with fever and chills – Mrs. Kapoor
Author: H. Douglas Walden, M.D., Saint Louis University School of Medicine
Editor: H. Douglas Walden, M.D., Saint Louis University School of Medicine

Case 30:  55-year-old woman with left leg swelling - Ms. Bond
Author: Susan T. Hingle, M.D., Southern Illinois University School of Medicine
Editor: Susan T. Hingle, M.D., Southern Illinois University School of Medicine

Case 31: 40-year-old male with knee pain - Mr. Nelson
Author: Debra L. Stottlemyer, M.D., Loma Linda University School of Medicine
Editor: Amit Shah, M.D., University of Texas Southwestern Medical Center

Case 32: 39-year-old woman with joint pain - Ms. Dickerson
Author: Kevin M. McKown, M.D., University of Wisconsin Medical School
Editor: Kevin M. McKown, M.D., University of Wisconsin Medical School

Case 33: 49-year-old woman with confusion - Mrs. Baxter
Author: Kevin E. O'Brien, M.D., University of South Florida College of Medicine
Editor: Harold Szerlip, M.D., The University of Arizona College of Medicine

Case 34: 55-year-old man with acute low back pain - Mr. Farber
Author: Lin Brown, M.D., Dartmouth Medical School
Editor: Lin Brown, M.D., Dartmouth Medical School

Case 35: 35-year-old female with three weeks of fever - Ms. Jankowski
Author: Anne Eacker, M.D., University of Washington School of Medicine
Editor: Temple Ratcliffe, M.D., Uniformed Services University of the Health Services

Case 36: 45-year-old man with ascites – Mr. Berlusconi (formerly case 11b)
Author: Charin Hanlon M.D., West Virginia University (Charleston Division)
Editor: John Walker, M.D., Robert Wood Johnson Medical School