Comprehensive iHuman Case Analysis: 16-Year-
Old Male Presenting With Hand Pain (Week 9)
Got it! We’re going to draft a comprehensive i-Human case analysis for a 16-year-old male presenting
with hand pain (Week 9, Class 6531). Since this is a full case study, it will include:
1. Patient Introduction & Demographics
2. History of Present Illness (HPI)
3. Past Medical History (PMH), Medications, Allergies, Family & Social History
4. Review of Systems (ROS)
5. Detailed Physical Examination (Head-to-Toe + Focused Hand/Wrist Exam)
6. Diagnostic Workup & Rationale
7. Assessment & Differential Diagnosis
, 8. Management Plan (Pharmacologic & Non-Pharmacologic)
9. Patient Education & Safety Netting
10. SOAP Note (Polished Version)
Before I create the full analysis, I want to confirm:
Here’s a comprehensive patient introduction and demographics section for your i-Human Week 9 case:
Patient Introduction & Demographics
Patient Name: [Redacted / Patient ID]
Age: 16 years
Sex: Male
Race/Ethnicity: Caucasian
Occupation: High school student
Date of Visit: [Insert Date]
Chief Complaint: “I hurt my right hand after falling while playing basketball.”
Presenting Context:
The patient is a healthy 16-year-old male who presents to the clinic with acute onset pain in his right
hand and wrist following a fall during a basketball game earlier today. He reports immediate pain,
swelling, and limited range of motion. There is no prior history of trauma to this hand, and no similar
injuries in the past. He is otherwise healthy and active in sports.
Vital Signs at Presentation:
• Temperature: 36.8 °C
• Heart Rate: 78 bpm
• Blood Pressure: 118/72 mmHg
• Respiratory Rate: 16 breaths/min
• Oxygen Saturation: 99% on room air
• Pain: 6/10, localized to the dorsal right wrist
Allergies: No known drug allergies (NKDA)
Medications: None
Immunizations: Up to date per school records
Lifestyle & Social History:
• Lives with parents and two siblings
• Active in basketball and occasional recreational soccer
, • Non-smoker, no alcohol or illicit drug use
• Diet: Balanced; no dietary restrictions
• No recent travel
Family History:
• Father: Hypertension
• Mother: Healthy
• Siblings: Healthy
• No known history of osteoporosis, arthritis, or bleeding disorders
Functional Status: Independent in activities of daily living (ADLs) and school activities.
Reason for Visit / Chief Complaint in Patient’s Words:
“I fell on my outstretched hand during basketball practice. My wrist hurts, is swollen, and I can’t move it
like I used to.”
Perfect! Here’s a comprehensive HPI and Past Medical History (PMH) section for your 16-year-old male
presenting with hand pain, with a detailed timeline and symptom description:
History of Present Illness (HPI)
Patient: 16-year-old male
Chief Complaint: Right hand/wrist pain after a fall
History:
The patient reports that earlier today, during basketball practice, he fell onto his outstretched right
hand while attempting to stop a fast break. He describes the mechanism as a FOOSH (fall on
outstretched hand) injury. He immediately experienced sharp pain over the dorsoradial aspect of the
right wrist, accompanied by swelling and difficulty moving his wrist and fingers.
Pain Characteristics:
• Onset: Sudden, at the time of fall
• Location: Dorsal and radial aspect of right wrist, radiating slightly to the base of the thumb
• Quality: Sharp, throbbing
• Severity: 6/10 at rest, 8/10 with movement
• Timing: Constant since injury, worse with hand/wrist movement
• Aggravating Factors: Wrist flexion, gripping objects, making a fist, attempting to write or lift
Old Male Presenting With Hand Pain (Week 9)
Got it! We’re going to draft a comprehensive i-Human case analysis for a 16-year-old male presenting
with hand pain (Week 9, Class 6531). Since this is a full case study, it will include:
1. Patient Introduction & Demographics
2. History of Present Illness (HPI)
3. Past Medical History (PMH), Medications, Allergies, Family & Social History
4. Review of Systems (ROS)
5. Detailed Physical Examination (Head-to-Toe + Focused Hand/Wrist Exam)
6. Diagnostic Workup & Rationale
7. Assessment & Differential Diagnosis
, 8. Management Plan (Pharmacologic & Non-Pharmacologic)
9. Patient Education & Safety Netting
10. SOAP Note (Polished Version)
Before I create the full analysis, I want to confirm:
Here’s a comprehensive patient introduction and demographics section for your i-Human Week 9 case:
Patient Introduction & Demographics
Patient Name: [Redacted / Patient ID]
Age: 16 years
Sex: Male
Race/Ethnicity: Caucasian
Occupation: High school student
Date of Visit: [Insert Date]
Chief Complaint: “I hurt my right hand after falling while playing basketball.”
Presenting Context:
The patient is a healthy 16-year-old male who presents to the clinic with acute onset pain in his right
hand and wrist following a fall during a basketball game earlier today. He reports immediate pain,
swelling, and limited range of motion. There is no prior history of trauma to this hand, and no similar
injuries in the past. He is otherwise healthy and active in sports.
Vital Signs at Presentation:
• Temperature: 36.8 °C
• Heart Rate: 78 bpm
• Blood Pressure: 118/72 mmHg
• Respiratory Rate: 16 breaths/min
• Oxygen Saturation: 99% on room air
• Pain: 6/10, localized to the dorsal right wrist
Allergies: No known drug allergies (NKDA)
Medications: None
Immunizations: Up to date per school records
Lifestyle & Social History:
• Lives with parents and two siblings
• Active in basketball and occasional recreational soccer
, • Non-smoker, no alcohol or illicit drug use
• Diet: Balanced; no dietary restrictions
• No recent travel
Family History:
• Father: Hypertension
• Mother: Healthy
• Siblings: Healthy
• No known history of osteoporosis, arthritis, or bleeding disorders
Functional Status: Independent in activities of daily living (ADLs) and school activities.
Reason for Visit / Chief Complaint in Patient’s Words:
“I fell on my outstretched hand during basketball practice. My wrist hurts, is swollen, and I can’t move it
like I used to.”
Perfect! Here’s a comprehensive HPI and Past Medical History (PMH) section for your 16-year-old male
presenting with hand pain, with a detailed timeline and symptom description:
History of Present Illness (HPI)
Patient: 16-year-old male
Chief Complaint: Right hand/wrist pain after a fall
History:
The patient reports that earlier today, during basketball practice, he fell onto his outstretched right
hand while attempting to stop a fast break. He describes the mechanism as a FOOSH (fall on
outstretched hand) injury. He immediately experienced sharp pain over the dorsoradial aspect of the
right wrist, accompanied by swelling and difficulty moving his wrist and fingers.
Pain Characteristics:
• Onset: Sudden, at the time of fall
• Location: Dorsal and radial aspect of right wrist, radiating slightly to the base of the thumb
• Quality: Sharp, throbbing
• Severity: 6/10 at rest, 8/10 with movement
• Timing: Constant since injury, worse with hand/wrist movement
• Aggravating Factors: Wrist flexion, gripping objects, making a fist, attempting to write or lift
