I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
I-Human Case Study: ll ll
Thomas Warren, a 72-
ll ll ll ll
year-old male,
ll ll
presents with a
ll ll ll
complaint of an
ll ll ll
unusual mole.
ll ll
-Human Case Study: Thomas Warren, 72 Years
ll ll ll ll ll ll
OldChief Complaint:Thomas Warren, a 72-year-old
ll ll ll ll ll
male, presents with a complaint of an unusual mole on
ll ll ll ll ll ll ll ll ll ll
his back that he noticed about 3 months ago. He
ll ll ll ll ll ll ll ll ll ll
reportsthatthemolehaschangedinsize,color,and
ll l l l l l l l l l
shape.Subjective:History of Present Illness
ll ll ll ll
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
,I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
(HPI):Onset: Noticed the mole 3 months ll ll ll ll ll
ago.Location: Middle of the back.Duration:
ll ll ll ll ll
Persistentsincefirstnoticed.Characteristics:The
ll l l l l
mole has become larger, darker, and has irregular
ll ll ll ll ll ll ll ll
borders. It has also becomeitchy
ll ll ll ll ll
occasionally.Associated Symptoms: No bleeding,
ll ll ll ll
oozing, or pain.Aggravating Factors: None
ll ll ll ll ll
reported.Relieving Factors: None reported.Previous
ll ll ll ll
lInterventions: No previous treatments or
l ll ll ll ll
evaluations.Past Medical History
ll ll ll
(PMH):Hypertension (well-controlled with
ll ll ll
medication).Hyperlipidemia.Type 2 Diabetes
ll ll ll
Mellitus.Osteoarthritis.No history of skin cancer or
ll ll ll ll ll ll
previous skin lesions of
ll ll ll ll
concern.Medications:Lisinopril 20 mg
ll ll ll
daily.Atorvastatin 40 mg daily.Metformin 500 mg ll ll ll ll ll
twicedaily.Ibuprofen200mgasneededforarthritis
ll l l l l l l l
pain.Allergies:No known drug allergies.Family
ll ll ll ll
History:Father: Deceased at 85, history of coronary
ll ll ll ll ll ll ll
artery disease.Mother: Deceased at 78, history of
ll ll ll ll ll ll ll
hypertension.Nofamilyhistoryofskincancer.Social
ll l l l l l
History:Retired accountant.Lives with spouse.
ll ll ll ll
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
,I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
I-Human Case Study: Thomas Warren, a 72-year-old
ll ll ll ll ll ll
male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll
mole.Non-smoker.Occasionalalcoholuse(1-2 drinks
ll l l ll ll
per week).No history of recreational drug
ll ll ll ll ll ll
use.Limited sun exposure in the past due to indoor
ll ll ll ll ll ll ll ll ll
occupation, uses sunscreen occasionally.Review of
ll ll ll ll ll
Systems (ROS):General:No weight loss, fever, or
ll ll ll ll ll ll
fatigue.Skin: Reports the mole on the back, occasional
ll ll ll ll ll ll ll ll
itching. No other skin changes or lesions.HEENT: No
ll ll ll ll ll ll ll ll
headaches, vision changes, hearingloss,or sore
ll ll ll ll l l ll
throat.Cardiovascular: No chest pain, palpitations, or
l ll ll ll ll ll
edema.Respiratory: No cough, shortness of breath, or
ll ll ll ll ll ll ll
wheezing.Gastrointestinal: No nausea, vomiting,
ll ll ll ll
abdominal pain, or changes in bowel
ll ll ll ll ll ll
habits.Genitourinary: No dysuria, frequency, or
ll ll ll ll ll
hematuria.Musculoskeletal: Chronic joint pain due to
ll ll ll ll ll ll
osteoarthritis, no new joint pain or
ll ll ll ll ll ll
swelling.Neurological: No dizziness, syncope, or focal
ll ll ll ll ll ll
neurological deficits.Endocrine: Diabetes well-
ll ll ll ll
managed, no new symptoms of hyperglycemia or
ll ll ll ll ll ll ll
hypoglycemia.Objective:Vital Signs:Blood Pressure:
ll ll ll
130/80 mmHgHeart Rate: 76 beats per
ll ll ll ll ll ll
minuteRespiratoryRate:16breathsper
ll l l l l
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
, I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
minuteTemperature:98.6°F(37°C)Oxygen l l
Saturation: 98% on room airPhysical
ll ll ll ll ll
Examination:General: Alert, oriented, and in no acute
ll ll ll ll ll ll ll
distress.Skin: A single mole on the mid-back,
ll ll ll ll ll ll ll
approximately 1.5 cm in diameter, asymmetrical with
ll ll ll ll ll ll ll
irregularborders,variegatedcolor(tan,brown, and
l l l l l l ll
black areas), slightly raised, and no ulceration or
ll ll ll ll ll ll ll ll
bleeding.HEENT: Normocephalic, atraumatic, no
ll ll ll ll
lesions or abnormalities noted.Cardiovascular:
ll ll ll ll
Regular rate and rhythm, no murmurs, rubs, or
ll ll ll ll ll ll ll ll
gallops.Respiratory:Cleartoauscultationbilaterally,
ll l l l l
no wheezes, rales, or rhonchi.Gastrointestinal: Soft,
ll ll ll ll ll ll
non-tender, no
ll ll
hepatosplenomegaly.Musculoskeletal:Normalrange
ll l l
of motion, no acute joint swelling or
ll ll ll ll ll ll ll
deformities.Neurological: No focal deficits, cranial
ll ll ll ll ll
nerves II-XII intact.Diagnostic Tests:
ll ll ll ll
I-Human Case Study: ThomasWarren, a 72-year-old ll ll ll l l ll
male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll
mole.Dermatoscopy: Shows irregular pigment
ll ll ll ll
network, asymmetry, and multiple colors.Skin
ll ll ll ll ll
Biopsy: Excisional biopsy performed for
ll ll ll ll ll
histopathological examination.Assessment:Primary
ll ll
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
I-Human Case Study: ll ll
Thomas Warren, a 72-
ll ll ll ll
year-old male,
ll ll
presents with a
ll ll ll
complaint of an
ll ll ll
unusual mole.
ll ll
-Human Case Study: Thomas Warren, 72 Years
ll ll ll ll ll ll
OldChief Complaint:Thomas Warren, a 72-year-old
ll ll ll ll ll
male, presents with a complaint of an unusual mole on
ll ll ll ll ll ll ll ll ll ll
his back that he noticed about 3 months ago. He
ll ll ll ll ll ll ll ll ll ll
reportsthatthemolehaschangedinsize,color,and
ll l l l l l l l l l
shape.Subjective:History of Present Illness
ll ll ll ll
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
,I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
(HPI):Onset: Noticed the mole 3 months ll ll ll ll ll
ago.Location: Middle of the back.Duration:
ll ll ll ll ll
Persistentsincefirstnoticed.Characteristics:The
ll l l l l
mole has become larger, darker, and has irregular
ll ll ll ll ll ll ll ll
borders. It has also becomeitchy
ll ll ll ll ll
occasionally.Associated Symptoms: No bleeding,
ll ll ll ll
oozing, or pain.Aggravating Factors: None
ll ll ll ll ll
reported.Relieving Factors: None reported.Previous
ll ll ll ll
lInterventions: No previous treatments or
l ll ll ll ll
evaluations.Past Medical History
ll ll ll
(PMH):Hypertension (well-controlled with
ll ll ll
medication).Hyperlipidemia.Type 2 Diabetes
ll ll ll
Mellitus.Osteoarthritis.No history of skin cancer or
ll ll ll ll ll ll
previous skin lesions of
ll ll ll ll
concern.Medications:Lisinopril 20 mg
ll ll ll
daily.Atorvastatin 40 mg daily.Metformin 500 mg ll ll ll ll ll
twicedaily.Ibuprofen200mgasneededforarthritis
ll l l l l l l l
pain.Allergies:No known drug allergies.Family
ll ll ll ll
History:Father: Deceased at 85, history of coronary
ll ll ll ll ll ll ll
artery disease.Mother: Deceased at 78, history of
ll ll ll ll ll ll ll
hypertension.Nofamilyhistoryofskincancer.Social
ll l l l l l
History:Retired accountant.Lives with spouse.
ll ll ll ll
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
,I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
I-Human Case Study: Thomas Warren, a 72-year-old
ll ll ll ll ll ll
male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll
mole.Non-smoker.Occasionalalcoholuse(1-2 drinks
ll l l ll ll
per week).No history of recreational drug
ll ll ll ll ll ll
use.Limited sun exposure in the past due to indoor
ll ll ll ll ll ll ll ll ll
occupation, uses sunscreen occasionally.Review of
ll ll ll ll ll
Systems (ROS):General:No weight loss, fever, or
ll ll ll ll ll ll
fatigue.Skin: Reports the mole on the back, occasional
ll ll ll ll ll ll ll ll
itching. No other skin changes or lesions.HEENT: No
ll ll ll ll ll ll ll ll
headaches, vision changes, hearingloss,or sore
ll ll ll ll l l ll
throat.Cardiovascular: No chest pain, palpitations, or
l ll ll ll ll ll
edema.Respiratory: No cough, shortness of breath, or
ll ll ll ll ll ll ll
wheezing.Gastrointestinal: No nausea, vomiting,
ll ll ll ll
abdominal pain, or changes in bowel
ll ll ll ll ll ll
habits.Genitourinary: No dysuria, frequency, or
ll ll ll ll ll
hematuria.Musculoskeletal: Chronic joint pain due to
ll ll ll ll ll ll
osteoarthritis, no new joint pain or
ll ll ll ll ll ll
swelling.Neurological: No dizziness, syncope, or focal
ll ll ll ll ll ll
neurological deficits.Endocrine: Diabetes well-
ll ll ll ll
managed, no new symptoms of hyperglycemia or
ll ll ll ll ll ll ll
hypoglycemia.Objective:Vital Signs:Blood Pressure:
ll ll ll
130/80 mmHgHeart Rate: 76 beats per
ll ll ll ll ll ll
minuteRespiratoryRate:16breathsper
ll l l l l
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
, I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
minuteTemperature:98.6°F(37°C)Oxygen l l
Saturation: 98% on room airPhysical
ll ll ll ll ll
Examination:General: Alert, oriented, and in no acute
ll ll ll ll ll ll ll
distress.Skin: A single mole on the mid-back,
ll ll ll ll ll ll ll
approximately 1.5 cm in diameter, asymmetrical with
ll ll ll ll ll ll ll
irregularborders,variegatedcolor(tan,brown, and
l l l l l l ll
black areas), slightly raised, and no ulceration or
ll ll ll ll ll ll ll ll
bleeding.HEENT: Normocephalic, atraumatic, no
ll ll ll ll
lesions or abnormalities noted.Cardiovascular:
ll ll ll ll
Regular rate and rhythm, no murmurs, rubs, or
ll ll ll ll ll ll ll ll
gallops.Respiratory:Cleartoauscultationbilaterally,
ll l l l l
no wheezes, rales, or rhonchi.Gastrointestinal: Soft,
ll ll ll ll ll ll
non-tender, no
ll ll
hepatosplenomegaly.Musculoskeletal:Normalrange
ll l l
of motion, no acute joint swelling or
ll ll ll ll ll ll ll
deformities.Neurological: No focal deficits, cranial
ll ll ll ll ll
nerves II-XII intact.Diagnostic Tests:
ll ll ll ll
I-Human Case Study: ThomasWarren, a 72-year-old ll ll ll l l ll
male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll
mole.Dermatoscopy: Shows irregular pigment
ll ll ll ll
network, asymmetry, and multiple colors.Skin
ll ll ll ll ll
Biopsy: Excisional biopsy performed for
ll ll ll ll ll
histopathological examination.Assessment:Primary
ll ll
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
mole.
