i-HUMAN WEEK#9 FULL STUDY CASE (16-YRS-OLD MALE ACUTE HAND PAIN)

i-Human Grading Rubric (FULL)

🧾 HISTORY — 20%


Element Points
Asking mechanism of injury ✅
Pain characteristics (OPQRST) ✅
Hand dominance ✅
Associated symptoms ✅



i-Human Full Case File + Grading
Rubric
🧾 PHYSICAL EXAM — 70% (HEAVILY WEIGHTED)

 Age: 16 years Exam Component Points
 Sex: Male Inspection (swelling, bruising) ✅
 Height: 5′7″ (170 Palpation of metacarpals ✅
cm) ROM testing ✅
Neurovascular exam ✅
Reason for Encounter: Comparison to opposite hand ✅
Hand pain


🧾 DIAGNOSTIC TESTING — 10%


Action Points
Ordering hand X-ray ✅
Correct interpretation ✅
Avoiding unnecessary labs ✅




H&P + Diagnosis Case — Week #9

, 👤 Patient Profile
 Age: 16 years
 Sex: Male
 Height: 5′7″ (170 cm)
 Weight: 132 lb (60.0 kg)
 Reason for Encounter: Hand pain
 Setting: Outpatient / Urgent Care
 Mode: Learning Mode




🩺 Chief Complaint (CC)
“My hand hurts.”




📝 History of Present Illness (HPI)
The patient is a 16-year-old male presenting with right hand pain that began 2 days ago.

 Onset: Acute
 Location: Dorsal aspect of right hand, over 4th–5th metacarpals
 Character: Throbbing pain
 Severity: 6/10
 Timing: Constant
 Aggravating factors: Making a fist, gripping objects
 Relieving factors: Rest
 Associated symptoms:
o Swelling
o Mild bruising
 Mechanism of injury: Patient hesitantly reports punching a wall during an argument ❗

⚠️ Mechanism is intentionally under-reported unless directly asked.




🩺 Review of Systems (ROS)
Positive

 Musculoskeletal: Hand pain, swelling