Case Study (Class 6512)
16-Year-Old Male with Right Hand Pain
Complete Clinical Assessment, Diagnosis, Treatment, SOAP
Documentation, Patient Education, and Follow-Up Plan
Walden University – 2026
Table of Contents
Introduction
Patient Demographics
Chief Complaint (CC)
History of Present Illness (HPI)
Past Medical History (PMH)
Past Surgical History (PSH)
Medications
Allergies
Family History (FH)
Social History (SH)