I-Human Case Study: Thomas Warren, a 72- year-old male, presents with a complaint of an unusual mole.

I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
mole.




I-Human Case Study:
Thomas Warren, a 72-
year-old male,
presents with a
complaint of an
unusual mole.
-Human Case Study: Thomas Warren, 72 Years
OldChief Complaint:Thomas Warren, a 72-year-old
male, presents with a complaint of an unusual mole
on his back that he noticed about 3 months ago. He
reports that the mole has changed in size, color, and
shape.Subjective:History of Present Illness
I-Human Case Study: Thomas Warren, a 72-year-old male, presents with a complaint of an unusual
mole.

,I-Human]Case]Study:]Thomas]Warren,]a]72-year-old]male,]presents]with]a]complaint]of]an]unusual
mole.


(HPI):Onset: Noticed the mole 3 months
ago.Location: Middle of the back.Duration:
Persistent since first noticed.Characteristics: The
mole has become larger, darker, and has irregular
borders. It has also becomeitchy
occasionally.Associated Symptoms: No bleeding,
oozing, or pain.Aggravating Factors: None
reported.Relieving Factors: None reported.Previous
Interventions: No previous treatments or
evaluations.Past Medical History
(PMH):Hypertension (well-controlled with
medication).Hyperlipidemia.Type 2 Diabetes
Mellitus.Osteoarthritis.No history of skin cancer or
previous skin lesions of
concern.Medications:Lisinopril 20 mg
daily.Atorvastatin 40 mg daily.Metformin 500 mg
twice daily.Ib
uprofen]200]mg]as]needed]for]arthritis]pain.Allergies:
No]known]drug]allergies.Family]History:Father:]Dece
ased]at]85,]history]of]coronary]artery]disease.Mother:
]Deceased]at]78,]history]of]hypertension.No]family]his


tory]of]skin]cancer.Social]History:Retired]accountant.
Lives]with]spouse.

I-Human]Case]Study:]Thomas]Warren,]a]72-year-old]male,]presents]with]a]complaint]of]an]unusual
mole.

,I-Human]Case]Study:]Thomas]Warren,]a]72-year-old]male,]presents]with]a]complaint]of]an]unusual
mole.


I-Human]Case]Study:]Thomas]Warren,]a]72-year-
old]male,]presents]with]a]complaint]of]an]unusual]mo
le.Non-smoker.Occasional]alcohol]use](1-
2]drinks]per]week).No]history]of]recreational]drug]us
e.Limited]sun]exposure]in]the]past]due]to]indoor]occu
pation,]uses]sunscreen]occasionally.Review]of]Syste
ms](ROS):General:No]weight]loss,]fever,]or]fatigue.Sk
in:]Reports]the]mole]on]the]back,]occasional]itching.]N
o]other]skin]changes]or]lesions.HEENT:]No]headache
s,]vision]changes,]hearing]loss,]or]sore]throat.Cardiov
ascular:]No]chest]pain,]palpitations,]or]edema.Respir
atory:]No]cough,]shortness]of]breath,]or]wheezing.Ga
strointestinal:]No]nausea,]vomiting,]abdominal]pain,]
or]changes]in]bowel]habits.Genitourinary:]No]dysuri
a,]frequency,]or]hematuria.Musculoskeletal:]Chronic]
joint]pain]due]to]osteoarthritis,]no]new]joint]pain]or]s
welling.Neurological:]No]dizziness,]syncope,]or]focal]
neurological]deficits.Endocrine:]Diabetes]well-
]managed,]no]new]symptoms]of]hyperglycemia]or]hy


poglycemia.Objective:Vital]Signs:Blood]Pressure:]13
0/80]mmHgHeart]Rate:]76]beats]per]minuteRespirat
ory]Rate:]16]breaths]per


I-Human]Case]Study:]Thomas]Warren,]a]72-year-old]male,]presents]with]a]complaint]of]an]unusual
mole.

, I-Human]Case]Study:]Thomas]Warren,]a]72-year-old]male,]presents]with]a]complaint]of]an]unusual
mole.


minuteTemperature:]98.6°F](37°C)Oxygen]Saturatio
n:]98%]on]room]airPhysical]Examination:General:]Al
ert,]oriented,]and]in]no]acute]distress.Skin:]A]single]m
ole]on]the]mid-
back,]approximately]1.5]cm]in]diameter,]asymmetric
al]with]irregular]borders,]variegated]color](tan,]brow
n,]and]black]areas),]slightly]raised,]and]no]ulceration]
or]bleeding.HEENT:]Normocephalic,]atraumatic,]no]l
esions]or]abnormalities]noted.Cardiovascular:]Regul
ar]rate]and]rhythm,]no]murmurs,]rubs,]or]gallops.Res
piratory:]Clear]to]auscultation]bilaterally,]no]wheezes
,]rales,]or]rhonchi.Gastrointestinal:]Soft,]non-
tender,]no]hepatosplenomegaly.Musculoskeletal:]No
rmal]range]of]motion,]no]acute]joint]swelling]or]defor
mities.Neurological:]No]focal]deficits,]cranial]nerves]I
I-XII]intact.Diagnostic]Tests:
I-Human]Case]Study:]Thomas]Warren,]a]72-year-
old]male,]presents]with]a]complaint]of]an]unusual]mo
le.Dermatoscopy:]Shows]irregular]pigment]network,]
asymmetry,]and]multiple]colors.Skin]Biopsy:]Excisio
nal]biopsy]performed]for]histopathological]examinat
ion.Assessment:Primary


I-Human]Case]Study:]Thomas]Warren,]a]72-year-old]male,]presents]with]a]complaint]of]an]unusual
mole.