i-Human Week 9 Case Study Solution: 55 y/o Male
with Back Pain – Full Clinical Evaluation, HPI, ROS,
Physical Exam, and Treatment Plan Guide
Patient Profile Name: Robert “Bob” Thompson Age: 55 years Sex: Male
Self-identified gender: Male Occupation: Construction foreman (heavy
lifting 4–5 days/week) Chief Complaint (in patient’s words): “My back
went out bad three days ago while I was lifting a pallet at the job site.
The pain shoots down my left leg and I can’t even stand up straight.”
History of Present Illness (HPI) – OLDCARTS format
Onset: Sudden, 3 days ago while lifting a 60-lb pallet (no fall or
direct trauma).
with Back Pain – Full Clinical Evaluation, HPI, ROS,
Physical Exam, and Treatment Plan Guide
Patient Profile Name: Robert “Bob” Thompson Age: 55 years Sex: Male
Self-identified gender: Male Occupation: Construction foreman (heavy
lifting 4–5 days/week) Chief Complaint (in patient’s words): “My back
went out bad three days ago while I was lifting a pallet at the job site.
The pain shoots down my left leg and I can’t even stand up straight.”
History of Present Illness (HPI) – OLDCARTS format
Onset: Sudden, 3 days ago while lifting a 60-lb pallet (no fall or
direct trauma).
