oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.
I-Human Case Study:
Thomas Warren, a 72-
year-old male,
presents with a
complaint of an
unusual mole.
HumanooCaseooStudy:ooThomasooWarren,oo72ooYearsooO
ldChiefooComplaint:ThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounus
ualoomoleoonoohisoobackoothatooheoonoticedooaboutoo3oomo
nthsooago.ooHeooreportsoothatootheoomoleoohasoochangedoo
inoosize,oocolor,ooandoshape.Subjective:HistoryooofooPres
I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.
,I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.
entooIllness
I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.
,I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.
(HPI):Onset:ooNoticedootheoomoleoo3oomonthsooago.Loc
ation:ooMiddleooofootheooback.Duration:ooPersistentoosin
ceoofirstoonoticed.Characteristics:ooTheoomoleoohasoobec
omeoolarger,oodarker,ooandoohasooirregularooborders.ooIto
ohasooalsooobecomeitchyoooccasionally.AssociatedooSy
mptoms:ooNooobleeding,oooozing,oooroopain.Aggravatin
gooFactors:ooNoneooreported.Relievingo o Factors:oo Noneoo
reported.PreviousoInterventions:ooNooopreviousootreat
mentsooorooevaluations.PastooMedicalooHistoryoo(PMH)
:Hypertensionoo(well-
controlledoowithoomedication).Hyperlipidemia.Typeoo
2ooDiabetesooMellitus.Osteoarthritis.Nooohistoryooofoos
kinoocanceroooroopreviousooskinoolesionsooofooconcern.M
edications:Lisinopriloo20oomg
daily.Atorvastatinoo40oomgoodaily.Metforminoo500oomg
ootwiceoodaily.Ibuprofenoo200oomgooasooneededooforooarth
ritisopain.Allergies:Noooknownoodrugooallergies.Famil
yooHistory:Father:ooDeceasedooatoo85,oohistoryooofoocoro
naryooarteryoodisease.Mother:ooDeceasedooatoo78,oohist
oryooofoohypertension.Nooofamilyoohistoryooofooskinoocan
cer.SocialoHistory:Retiredooaccountant.Livesoowithoos
pouse.
I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.
, I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.
I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldomale,oopresentsoowithooaoocomplaintooofooanoounusua
loomole.Non-smoker.Occasionalooalcoholoouseoo(1-
2oodrinksoperooweek).Nooohistoryooofoorecreationaloodru
goouse.Limitedoosunooexposureooinootheoopastoodueootoooin
dooroooccupation,oousesoosunscreenoooccasionally.Rev
iewooofooSystemsoo(ROS):General:Noooweightooloss,oofev
er,oooroofatigue.Skin:ooReportsootheoomoleooonootheooback
,oooccasionalooitching.ooNooootherooskinoochangesooorooles
ions.HEENT:ooNoooheadaches,oovisionoochanges,ooheari
ngooloss,oooroosoreoothroat.Cardiovascular:ooNooochestopai
n,oopalpitations,ooorooedema.Respiratory:ooNooocough,oo
shortnessooofoobreath,oooroowheezing.Gastrointestinal:
ooNooo nausea,oo vomiting,oo abdominaloopain,oo oroo chang
esooinooboweloohabits.Genitourinary:ooNooodysuria,oofre
quency,oooroohematuria.Musculoskeletal:ooChronicoojoi
ntoopainoodueootoooosteoarthritis,oonooonewoojointoopainoo
orooswelling.Neurological:ooNooodizziness,oosyncope,oo
oroofocalooneurologicaloodeficits.Endocrine:ooDiabetesoo
well-
managed,oonooonewoosymptomsooofoohyperglycemiaooor
o
oohypoglycemia.Objective:VitalooSigns:BloodooPressur
e:oo130/80oommHgHeartooRate:oo76oobeatsooperoominut
eRespiratoryooRate:oo16oobreathsooper
I-HumanooCaseooStudy:ooThomasooWarren,ooaoo72-year-
oldoomale,oopresentsoowithooaoocomplaintooofooanoounusual
mole.