Assessment Walden University Case Class 6531
2025
Certainly! Here's a detailed history for a 16-
year-old male presenting with hand pain, based
on clinical reasoning and common adolescent
musculoskeletal conditions:
Patient History
Chief Complaint
• A 16-year-old male presents with persistent
pain in the right hand for the past two
weeks.
History of Present Illness (HPI)
• The pain began gradually without any
preceding trauma.
, • Initially mild, the pain has progressively
worsened, now rated 6/10 on the pain scale.
• Localized to the dorsal aspect of the right
hand, with occasional radiation to the wrist.
• Aggravated by activities such as writing,
typing, and playing video games; relieved
by rest and over-the-counter analgesics.
• No associated swelling, redness, or warmth
noted.
• No history of similar episodes in the past.
(The Case of an 18-Year-Old Male with
Hand Pain - Journal of Urgent Care
Medicine)
Past Medical History
• Generally healthy with no chronic medical
conditions.
• No previous hand injuries or surgeries.
Medications
• Occasional use of ibuprofen for pain relief.
Allergies