I HUMAN WEEK 2 NURS 2026 72 YEAR OLD MALE
PRESENTING WITH UNUSUAL MOLE ON RIGHT SHOULDER
AT OUTPATIENT DERMATOLOGY ASSESSMENT UTILIZING
SYSTEMATIC HISTORY, PHYSICAL EXAMINATION,
DIFFERENTIAL DIAGNOSIS, AND MANAGEMENT
,PATIENT INFORMATION
Age: 72 years
Sex: Male
Height: 6′0″ (183 cm)
Weight: 179.0 lb (81.4 kg)
Location: Outpatient dermatology-capable clinic
Reason for Encounter: Unusual mole
Explanation: The patient is a 72-year-old retired farmer presenting for evaluation of an unusual mole on
his right shoulder that he first noticed 3–4 months ago. The lesion has evolved in appearance, prompting
clinical evaluation for possible skin malignancy and appropriate management.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient dermatology evaluation
Chief Complaint Unusual mole on right shoulder
Duration Approximately 3–4 months
Frequency Constant presence of lesion since first noticed
Associated Symptoms Itching when clothing rubs against lesion
Aggravating Factors Friction from clothing, physical contact
Relieving Factors None, although avoiding irritation helps
Systemic Symptoms Denies fever, weight loss, night sweats, or lymphadenopathy
Patient Goals Identify cause of mole changes, obtain diagnosis, receive definitive treatment
Explanation: This table outlines the patient’s reason for encounter. He reports a single mole on his right
shoulder that has evolved over several months in size, shape, and texture and is occasionally irritated by
clothing. There are no systemic symptoms suggestive of infection or widespread disease. His primary
goals are to determine the nature of the lesion, obtain a definitive diagnosis through biopsy, and initiate
appropriate treatment based on findings.
PRESENTING WITH UNUSUAL MOLE ON RIGHT SHOULDER
AT OUTPATIENT DERMATOLOGY ASSESSMENT UTILIZING
SYSTEMATIC HISTORY, PHYSICAL EXAMINATION,
DIFFERENTIAL DIAGNOSIS, AND MANAGEMENT
,PATIENT INFORMATION
Age: 72 years
Sex: Male
Height: 6′0″ (183 cm)
Weight: 179.0 lb (81.4 kg)
Location: Outpatient dermatology-capable clinic
Reason for Encounter: Unusual mole
Explanation: The patient is a 72-year-old retired farmer presenting for evaluation of an unusual mole on
his right shoulder that he first noticed 3–4 months ago. The lesion has evolved in appearance, prompting
clinical evaluation for possible skin malignancy and appropriate management.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient dermatology evaluation
Chief Complaint Unusual mole on right shoulder
Duration Approximately 3–4 months
Frequency Constant presence of lesion since first noticed
Associated Symptoms Itching when clothing rubs against lesion
Aggravating Factors Friction from clothing, physical contact
Relieving Factors None, although avoiding irritation helps
Systemic Symptoms Denies fever, weight loss, night sweats, or lymphadenopathy
Patient Goals Identify cause of mole changes, obtain diagnosis, receive definitive treatment
Explanation: This table outlines the patient’s reason for encounter. He reports a single mole on his right
shoulder that has evolved over several months in size, shape, and texture and is occasionally irritated by
clothing. There are no systemic symptoms suggestive of infection or widespread disease. His primary
goals are to determine the nature of the lesion, obtain a definitive diagnosis through biopsy, and initiate
appropriate treatment based on findings.
