I-HUMAN COMPREHENSIVE
CASE DOCUMENTATION
COURSE: NR 6512 –
ADVANCED HEALTH
ASSESSMENT
WEEK: 9
,Patient: 16-Year-Old Male
Chief Complaint: Right hand pain
Identifying Information
Age: 16
Gender: Male
Source of History: Patient
Reliability: Reliable
Chief Complaint (CC)
, Right hand pain.
History of Present Illness (HPI)
The patient is a 16-year-old male who
presents with right hand pain that
began approximately 24 hours ago
after punching a wall during an
argument. Pain is localized to the
ulnar side of the right hand near the
4th and 5th metacarpals. The pain is
CASE DOCUMENTATION
COURSE: NR 6512 –
ADVANCED HEALTH
ASSESSMENT
WEEK: 9
,Patient: 16-Year-Old Male
Chief Complaint: Right hand pain
Identifying Information
Age: 16
Gender: Male
Source of History: Patient
Reliability: Reliable
Chief Complaint (CC)
, Right hand pain.
History of Present Illness (HPI)
The patient is a 16-year-old male who
presents with right hand pain that
began approximately 24 hours ago
after punching a wall during an
argument. Pain is localized to the
ulnar side of the right hand near the
4th and 5th metacarpals. The pain is
