I HUMAN WEEK 2 NURS 2026 CLASS 6512 30 YEAR OLD FEMALE
PRESENTING WITH NECK PAIN AT OUTPATIENT CLINIC UTILIZING
SYSTEMATIC HISTORY-DRIVEN CLINICAL ASSESSMENT,
DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-BASED MANAGEMENT
,PATIENT INFORMATION
Age: 30 years
Sex: Female
Height: 5′5″ (165 cm)
Weight: 140 lb (63.5 kg)
Location: Outpatient clinic with diagnostic capability
Reason for Encounter: Neck pain
Explanation:
The patient is a 30-year-old female who presents with a several-week history of progressive neck
pain. The evaluation focuses on identifying the cause of pain, differentiating musculoskeletal and
neurologic etiologies, and initiating evidence-based management.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient clinical evaluation
Chief Complaint Neck pain
Duration 3 weeks
Frequency Daily
Associated Symptoms Stiffness, occasional headaches, shoulder discomfort
Aggravating Factors Prolonged sitting, poor posture, head turning
Relieving Factors Rest, heat application, OTC analgesics
Systemic Symptoms No fever, no numbness or weakness
Patient Goals Effective pain relief, improved mobility, return to normal activities
Explanation:
The patient reports persistent neck pain present daily for approximately three weeks. The pain is
described as stiffness with occasional radiation to the left shoulder and mild headache. Pain
worsens with activities such as prolonged sitting, looking down, and poor posture, and improves
somewhat with rest and heat. There are no systemic or neurologic symptoms. The patient’s goals
include diagnosis, pain relief, and restoration of full neck motion.
PRESENTING WITH NECK PAIN AT OUTPATIENT CLINIC UTILIZING
SYSTEMATIC HISTORY-DRIVEN CLINICAL ASSESSMENT,
DIFFERENTIAL DIAGNOSIS, AND EVIDENCE-BASED MANAGEMENT
,PATIENT INFORMATION
Age: 30 years
Sex: Female
Height: 5′5″ (165 cm)
Weight: 140 lb (63.5 kg)
Location: Outpatient clinic with diagnostic capability
Reason for Encounter: Neck pain
Explanation:
The patient is a 30-year-old female who presents with a several-week history of progressive neck
pain. The evaluation focuses on identifying the cause of pain, differentiating musculoskeletal and
neurologic etiologies, and initiating evidence-based management.
, REASON FOR ENCOUNTER
Category Details
Encounter Type Outpatient clinical evaluation
Chief Complaint Neck pain
Duration 3 weeks
Frequency Daily
Associated Symptoms Stiffness, occasional headaches, shoulder discomfort
Aggravating Factors Prolonged sitting, poor posture, head turning
Relieving Factors Rest, heat application, OTC analgesics
Systemic Symptoms No fever, no numbness or weakness
Patient Goals Effective pain relief, improved mobility, return to normal activities
Explanation:
The patient reports persistent neck pain present daily for approximately three weeks. The pain is
described as stiffness with occasional radiation to the left shoulder and mild headache. Pain
worsens with activities such as prolonged sitting, looking down, and poor posture, and improves
somewhat with rest and heat. There are no systemic or neurologic symptoms. The patient’s goals
include diagnosis, pain relief, and restoration of full neck motion.
