NEWEST IHUMAN COMPREHENSIVE CASE STUDY 2025: 72-YEARS-OLD MALE PATIENT WITH UNUSUAL MOLE (CLASS 6531)

This document offers an extensive iHuman comprehensive case study of a 72-year-old male evaluated for a progressively changing pigmented mole on the upper back, with strong clinical suspicion for malignant melanoma. It details the patient’s presenting complaint, evolution of the lesion over several months, associated symptoms, and significant risk factors including advanced age, chronic ultraviolet exposure from lifelong outdoor work, and inconsistent sun protection. The case is systematically organized using the SOAP framework and includes a thorough review of systems, complete skin assessment, and focused physical examination with application of the ABCDE melanoma criteria. It explores relevant differential diagnoses, clearly explains the clinical reasoning supporting melanoma as the primary concern, and outlines an evidence-based diagnostic and management plan involving urgent excisional biopsy, specialist referrals, patient education, and preventive follow-up. This case is particularly valuable for students preparing for iHuman simulations, dermatology-focused assessments, and clinical exams in primary care, nursing, and medical programs.