I-HUMAN CASE STUDY THOMAS
WARREN, A 72YEAR-OLD MALE,
PRESENTS WITH A COMPLAINT OF AN
UNUSUAL MOLE ATLS POST TEST 4
LATEST 2024 VERIFIED
-Human Case Study: Thomas Warren, 72 Years
OldChief Complaint:
Thomas Warren, a 72-year-old male, presents with a
complaint of an unusual mole on his back that he
noticed about 3 months ago. He reports that the mole
has changed in size, color, and shape.Subjective:
History of Present Illness (HPI):Onset: Noticed the
mole 3 months ago.
Location: Middle of the back.
Duration: Persistent since first noticed.
Characteristics: The mole has become larger, darker,
and has irregular borders. It has also becomeitchy
occasionally.
Associated Symptoms: No bleeding, oozing, or pain.
Aggravating Factors:
?
, None reported.Relieving Factors: None
reported.Previous Interventions: No previous
treatments or evaluations.Past Medical History
(PMH):
Hypertension (well-controlled with
medication).Hyperlipidemia.Type 2 Diabetes
Mellitus.Osteoarthritis.No history of skin cancer or
previous skin lesions of
concern.
Medications:
Lisinopril 20 mg daily.Atorvastatin 40 mg
daily.Metformin 500 mg twice daily.Ibuprofen 200 mg
as needed for arthritis pain.
Allergies:
No known drug allergies.
Family History: Father: Deceased at 85, history of
coronary artery disease.Mother: Deceased at 78, history
of hypertension.No family history of skin cancer.
Social History:Retired accountant.Lives with spouse.
,I-Human Case Study: Thomas Warren, a 72-year-old
male, presents with a complaint of an unusual
mole.Non-smoker.Occasional alcohol use (1-2 drinks
per week).No history of recreational drug
use.Limited sun exposure in the past due to indoor
occupation, uses sunscreen occasionally.Review of
Systems (ROS):
General:No weight loss, fever, or fatigue.Skin:
Reports the mole on the back, occasional itching. No
other skin changes or lesions.
HEENT:
No headaches, vision changes, hearing loss, or
sore throat.
Cardiovascular: No chest pain, palpitations, or
edema.
Respiratory: No cough, shortness of breath, or
wheezing.
Gastrointestinal: No nausea, vomiting, abdominal
pain, or changes in bowel habits.
Genitourinary: No dysuria, frequency, or hematuria.
Musculoskeletal: Chronic joint pain due to
osteoarthritis, no new joint pain or swelling.
, Neurological: No dizziness, syncope, or focal
neurological deficits.
Endocrine: Diabetes wellmanaged, no new
symptoms of hyperglycemia or hypoglycemia.
Objective:Vital Signs: Blood Pressure:
130/80 mmHgHeart Rate: 76 beats per
minuteRespiratory Rate: 16 breaths per
minuteTemperature: 98.6°F (37°C)Oxygen
Saturation: 98% on room airPhysical
Examination:
General: Alert, oriented, and in no acute distress.
Skin: A single mole on the mid-back, approximately
1.5 cm in diameter, asymmetrical with irregular
borders, variegated color (tan, brown, and black
areas), slightly raised, and no ulceration or bleeding.
HEENT: Normocephalic, atraumatic, no lesions or
abnormalities noted.Cardiovascular: Regular rate
and rhythm, no murmurs, rubs, or
gallops.Respiratory: Clear to auscultation bilaterally,
no wheezes, rales, or rhonchi.Gastrointestinal: Soft,
non-tender, no
hepatosplenomegaly.Musculoskeletal: Normal range
WARREN, A 72YEAR-OLD MALE,
PRESENTS WITH A COMPLAINT OF AN
UNUSUAL MOLE ATLS POST TEST 4
LATEST 2024 VERIFIED
-Human Case Study: Thomas Warren, 72 Years
OldChief Complaint:
Thomas Warren, a 72-year-old male, presents with a
complaint of an unusual mole on his back that he
noticed about 3 months ago. He reports that the mole
has changed in size, color, and shape.Subjective:
History of Present Illness (HPI):Onset: Noticed the
mole 3 months ago.
Location: Middle of the back.
Duration: Persistent since first noticed.
Characteristics: The mole has become larger, darker,
and has irregular borders. It has also becomeitchy
occasionally.
Associated Symptoms: No bleeding, oozing, or pain.
Aggravating Factors:
?
, None reported.Relieving Factors: None
reported.Previous Interventions: No previous
treatments or evaluations.Past Medical History
(PMH):
Hypertension (well-controlled with
medication).Hyperlipidemia.Type 2 Diabetes
Mellitus.Osteoarthritis.No history of skin cancer or
previous skin lesions of
concern.
Medications:
Lisinopril 20 mg daily.Atorvastatin 40 mg
daily.Metformin 500 mg twice daily.Ibuprofen 200 mg
as needed for arthritis pain.
Allergies:
No known drug allergies.
Family History: Father: Deceased at 85, history of
coronary artery disease.Mother: Deceased at 78, history
of hypertension.No family history of skin cancer.
Social History:Retired accountant.Lives with spouse.
,I-Human Case Study: Thomas Warren, a 72-year-old
male, presents with a complaint of an unusual
mole.Non-smoker.Occasional alcohol use (1-2 drinks
per week).No history of recreational drug
use.Limited sun exposure in the past due to indoor
occupation, uses sunscreen occasionally.Review of
Systems (ROS):
General:No weight loss, fever, or fatigue.Skin:
Reports the mole on the back, occasional itching. No
other skin changes or lesions.
HEENT:
No headaches, vision changes, hearing loss, or
sore throat.
Cardiovascular: No chest pain, palpitations, or
edema.
Respiratory: No cough, shortness of breath, or
wheezing.
Gastrointestinal: No nausea, vomiting, abdominal
pain, or changes in bowel habits.
Genitourinary: No dysuria, frequency, or hematuria.
Musculoskeletal: Chronic joint pain due to
osteoarthritis, no new joint pain or swelling.
, Neurological: No dizziness, syncope, or focal
neurological deficits.
Endocrine: Diabetes wellmanaged, no new
symptoms of hyperglycemia or hypoglycemia.
Objective:Vital Signs: Blood Pressure:
130/80 mmHgHeart Rate: 76 beats per
minuteRespiratory Rate: 16 breaths per
minuteTemperature: 98.6°F (37°C)Oxygen
Saturation: 98% on room airPhysical
Examination:
General: Alert, oriented, and in no acute distress.
Skin: A single mole on the mid-back, approximately
1.5 cm in diameter, asymmetrical with irregular
borders, variegated color (tan, brown, and black
areas), slightly raised, and no ulceration or bleeding.
HEENT: Normocephalic, atraumatic, no lesions or
abnormalities noted.Cardiovascular: Regular rate
and rhythm, no murmurs, rubs, or
gallops.Respiratory: Clear to auscultation bilaterally,
no wheezes, rales, or rhonchi.Gastrointestinal: Soft,
non-tender, no
hepatosplenomegaly.Musculoskeletal: Normal range
