, Patient Information
Name: Not specified (referred to as “John Smith” for clarity, per
iHuman convention)
Age: 72 years old
Gender: Male
Height: 5’10” (178 cm, based on average for elderly males)
Weight: 165 lbs (75 kg, BMI 23.7 kg/m², normal)
Reason for Encounter: Unusual mole for 3 months
Setting: Outpatient clinic with laboratory capabilities
Class: 6531, Week #2, Walden University
Date and Time: July 17, 2025, 11:31 AM
History of Present Illness (HPI)
John Smith, a 72-year-old Caucasian male, presents to the outpatient
clinic with a chief complaint of an unusual mole on his right upper back
for 3 months. He describes the mole as a dark, irregularly shaped
lesion, approximately 8 mm in diameter, which has changed in size and
color (from light brown to dark brown-black) and developed occasional
itching. John reports no bleeding, ulceration, pain, or discharge, but his