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

I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.




I-Human Case Study: ll ll




Thomas Warren, a 72-
ll ll ll ll




year-old male,
ll ll




presents with a
ll ll ll




complaint of an
ll ll ll




unusual mole.
ll ll




-Human Case Study: Thomas Warren, 72 Years
ll ll ll ll ll ll




OldChief Complaint:Thomas Warren, a 72-year-old
ll ll ll ll ll




male, presents with a complaint of an unusual mole on
ll ll ll ll ll ll ll ll ll ll




his back that he noticed about 3 months ago. He
ll ll ll ll ll ll ll ll ll ll




reportsthatthemolehaschangedinsize,color,and
ll l l l l l l l l l




shape.Subjective:History of Present Illness
ll ll ll ll




I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.

,I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.


(HPI):Onset: Noticed the mole 3 months ll ll ll ll ll




ago.Location: Middle of the back.Duration:
ll ll ll ll ll




Persistentsincefirstnoticed.Characteristics:The
ll l l l l




mole has become larger, darker, and has irregular
ll ll ll ll ll ll ll ll




borders. It has also becomeitchy
ll ll ll ll ll




occasionally.Associated Symptoms: No bleeding,
ll ll ll ll




oozing, or pain.Aggravating Factors: None
ll ll ll ll ll




reported.Relieving Factors: None reported.Previous
ll ll ll ll




lInterventions: No previous treatments or
l ll ll ll ll




evaluations.Past Medical History
ll ll ll




(PMH):Hypertension (well-controlled with
ll ll ll




medication).Hyperlipidemia.Type 2 Diabetes
ll ll ll




Mellitus.Osteoarthritis.No history of skin cancer or
ll ll ll ll ll ll




previous skin lesions of
ll ll ll ll




concern.Medications:Lisinopril 20 mg
ll ll ll




daily.Atorvastatin 40 mg daily.Metformin 500 mg ll ll ll ll ll




twicedaily.Ibuprofen200mgasneededforarthritis
ll l l l l l l l




pain.Allergies:No known drug allergies.Family
ll ll ll ll




History:Father: Deceased at 85, history of coronary
ll ll ll ll ll ll ll




artery disease.Mother: Deceased at 78, history of
ll ll ll ll ll ll ll




hypertension.Nofamilyhistoryofskincancer.Social
ll l l l l l




History:Retired accountant.Lives with spouse.
ll ll ll ll




I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.

,I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.


I-Human Case Study: Thomas Warren, a 72-year-old
ll ll ll ll ll ll




male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll




mole.Non-smoker.Occasionalalcoholuse(1-2 drinks
ll l l ll ll




per week).No history of recreational drug
ll ll ll ll ll ll




use.Limited sun exposure in the past due to indoor
ll ll ll ll ll ll ll ll ll




occupation, uses sunscreen occasionally.Review of
ll ll ll ll ll




Systems (ROS):General:No weight loss, fever, or
ll ll ll ll ll ll




fatigue.Skin: Reports the mole on the back, occasional
ll ll ll ll ll ll ll ll




itching. No other skin changes or lesions.HEENT: No
ll ll ll ll ll ll ll ll




headaches, vision changes, hearingloss,or sore
ll ll ll ll l l ll




throat.Cardiovascular: No chest pain, palpitations, or
l ll ll ll ll ll




edema.Respiratory: No cough, shortness of breath, or
ll ll ll ll ll ll ll




wheezing.Gastrointestinal: No nausea, vomiting,
ll ll ll ll




abdominal pain, or changes in bowel
ll ll ll ll ll ll




habits.Genitourinary: No dysuria, frequency, or
ll ll ll ll ll




hematuria.Musculoskeletal: Chronic joint pain due to
ll ll ll ll ll ll




osteoarthritis, no new joint pain or
ll ll ll ll ll ll




swelling.Neurological: No dizziness, syncope, or focal
ll ll ll ll ll ll




neurological deficits.Endocrine: Diabetes well-
ll ll ll ll




managed, no new symptoms of hyperglycemia or
ll ll ll ll ll ll ll




hypoglycemia.Objective:Vital Signs:Blood Pressure:
ll ll ll




130/80 mmHgHeart Rate: 76 beats per
ll ll ll ll ll ll




minuteRespiratoryRate:16breathsper
ll l l l l




I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.

, I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.


minuteTemperature:98.6°F(37°C)Oxygen l l




Saturation: 98% on room airPhysical
ll ll ll ll ll




Examination:General: Alert, oriented, and in no acute
ll ll ll ll ll ll ll




distress.Skin: A single mole on the mid-back,
ll ll ll ll ll ll ll




approximately 1.5 cm in diameter, asymmetrical with
ll ll ll ll ll ll ll




irregularborders,variegatedcolor(tan,brown, and
l l l l l l ll




black areas), slightly raised, and no ulceration or
ll ll ll ll ll ll ll ll




bleeding.HEENT: Normocephalic, atraumatic, no
ll ll ll ll




lesions or abnormalities noted.Cardiovascular:
ll ll ll ll




Regular rate and rhythm, no murmurs, rubs, or
ll ll ll ll ll ll ll ll




gallops.Respiratory:Cleartoauscultationbilaterally,
ll l l l l




no wheezes, rales, or rhonchi.Gastrointestinal: Soft,
ll ll ll ll ll ll




non-tender, no
ll ll




hepatosplenomegaly.Musculoskeletal:Normalrange
ll l l




of motion, no acute joint swelling or
ll ll ll ll ll ll ll




deformities.Neurological: No focal deficits, cranial
ll ll ll ll ll




nerves II-XII intact.Diagnostic Tests:
ll ll ll ll




I-Human Case Study: ThomasWarren, a 72-year-old ll ll ll l l ll




male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll




mole.Dermatoscopy: Shows irregular pigment
ll ll ll ll




network, asymmetry, and multiple colors.Skin
ll ll ll ll ll




Biopsy: Excisional biopsy performed for
ll ll ll ll ll




histopathological examination.Assessment:Primary
ll ll




I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll



mole.