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Acute Back pain 55 years old male patient Comprehensive NRNP 6512 week 9 Clinical Case 2026 Actual screenshots/ 55-Year-Old Male with Back Pain | ADVANCED CLINICAL GUIDE | SOAP Notes, Diagnostics, Final Diagnosis & EvidenceBased Care Plan.

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Subido en
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Escrito en
2025/2026

i-Human Case Study Week 9: 55-Year-Old Male with Acute Lower Back Pain – Full Clinical Evaluation, SOAP Note, and Management Plan (Walden NURS 6512) This comprehensive i-Human Week 9 clinical report provides a full evaluation of a 55-year-old male presenting with acute mechanical lower back pain. It includes a complete history of present illness (HPI), a focused musculoskeletal exam with findings on lumbar paraspinal tenderness, and a detailed differential diagnosis. You will find an evidence-based management plan with pharmacological and non-pharmacological interventions designed to secure a passing grade for Walden University's NURS 651

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Acute Back pain 55 years old male patient
Comprehensive NRNP 6512 week 9 Clinical
Case 2026 Actual screenshots/ 55-Year-
Old Male with Back Pain | ADVANCED
CLINICAL GUIDE | SOAP Notes, Diagnostics,
Final Diagnosis & EvidenceBased Care Plan.



Case Instructions




i-Human Case Week
#9
55 y/o
5' 10" (178 cm)
245.0 1b (111.4 kg)

Reason for encounter
Back pain

Location
Emergency department with full
capabilities i-Human Graduate Premium Sick Visit Cases: H&P
Learn more about how to play i-Human Graduate Premium Sick Visit Cases:
H&P + Dx in this short overview.

imaging and laboratory

,History Feedback
Ask relevant problem-focused questions to create an accurate initial differential diagnosis list Various questions may yield
the same information. Examples of high-yield questions for this case include:
Performed X Missed

Pivotal
Concept Category Question Response
Addressed
How can I help you today? Well, my back has been

Do you have any other symptoms or Yeah, recently, I've been feeling like my
concerns we should discuss? belly is fuller than usua[
Do you have any allergies? No _

Where more precisely is the pain in your The pain is in my lower back. It's been
back? plaguing me for the past 3 days.
It's lasted for 3 days, but it feels like it is
How long does your back pain last?
not getting any better
When did the pain in your back start? It started 3 days ago

It feels like a tingly pain, you know, when
What does the pain in your back feel like? your arm or leg falls asleep because
you've been lying on it too long?
It's more like a tingling feeling. It goes
Does the pain in your back radiate
down both of my legs and inner thighs.
someplace else? Where?
That has never happened before.
I would say this pain is about a solid 6 or 7
How severe (1-10 scale) is the pain in your
out of 10. Do you think I could have
back?
something to take the edge off?
Nope, it has been there and getting worse
since it began 3 days ago, right in the
Does the pain in your back come and go? lower back. Let me tell you, stay healthy
because once that back goes, there goes
ya life.
I have taken some over-the-counter stuff
What treatments have you had for the
that I bought at the local store down the
pain in your back?
way, but they haven lt really helped much

, I have taken some over-the-counter stuff
What treatments have you had for the that I bought at the local store down the
pain in your back? way, but they haven lt really helped
much
Besides the little incident, honestly,
nothing was out of the ordinary from
What are the events surrounding the start of
what I already mentioned I was coming
your back pain?
home from work in the evening as usual,
and that's when the pain hit me.
Symptom Do you have joint or bone pain? Just the pain in my back

Symptom Do you have any pain in your back? Yes, I do.

Well, anytime I move around, the pain hurts a
Does anything make the pain in your back lot more. Even if I try to bend forward, it feels
better or worse? just as bad. So, 1 1m just at a loss as to what to
do.
No, nothing really "traumatic" has
happened in my life, besides the little pull
Have you had any significant traumatic I felt in my back several days ago. I was
injuries or accidents? unhooking the rig from the truck, and as
I went to lift the latch, I felt a little pop in
my lower back.
No, a fall didn't cause my pain. I was
unhooking the rig from the truck, and as I
SH Have you fallen?
went to lift the latch, I felt a little pop in my
lower back.
Do you have any tingling and/or Besides what l lve felt and already told
Symptom
numbness anywhere? you, nope, nowhere else
Are you referring to my legs? If so, 1 1m
Do you have a problem with generalized not really sure If they are weak, but as I
Symptom
weakness? mentioned earlier, it started with this
pain 3 days ago
I don't have any pain per se, but my belly
does feel really full. Do you think it has
Symptom Do you have any pain in your abdomen?
anything to do With not being able to go
to the bathroom so well?
Has there been a change in your Well, I have not been able to go as often for
Symptom more than several hours.
urination frequency?

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Subido en
22 de abril de 2026
Número de páginas
21
Escrito en
2025/2026
Tipo
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