Walden 6512 Week 9 i-Human Case Study: 16-Year-Old
Male with Hand Pain | SOAP Note & Plan to Pass Exams
2026-2027.Newest
,� i-Human Case Study
16-Year-Old Male with Hand Pain
SOAP Note + Clinical Reasoning + Plan
� Patient Information
Name: J.T. (initials)
Age: 16 years
Gender: Male
Ethnicity: African American (or adapt as needed)
Source: Patient + parent (reliable)
� Chief Complaint (CC)
,“My right hand hurts after playing basketball.”
� History of Present Illness (HPI)
J.T. is a 16-year-old male presenting with right hand pain that started 2 days ago
after a fall during a basketball game. He reports landing on his outstretched hand.
Onset: Sudden, after trauma
Location: Right hand (5th metacarpal region)
Duration: 2 days
Characteristics: Sharp pain, worsens with movement
Severity: 6/10
Aggravating factors: Movement, gripping objects
Relieving factors: Rest, ice (mild relief)
Radiation: None
, Timing: Constant with intermittent worsening
Associated symptoms:
Swelling
Mild bruising
Limited range of motion
Denies:
Numbness
Tingling
Open wounds
Fever
� Past Medical History (PMH)
Male with Hand Pain | SOAP Note & Plan to Pass Exams
2026-2027.Newest
,� i-Human Case Study
16-Year-Old Male with Hand Pain
SOAP Note + Clinical Reasoning + Plan
� Patient Information
Name: J.T. (initials)
Age: 16 years
Gender: Male
Ethnicity: African American (or adapt as needed)
Source: Patient + parent (reliable)
� Chief Complaint (CC)
,“My right hand hurts after playing basketball.”
� History of Present Illness (HPI)
J.T. is a 16-year-old male presenting with right hand pain that started 2 days ago
after a fall during a basketball game. He reports landing on his outstretched hand.
Onset: Sudden, after trauma
Location: Right hand (5th metacarpal region)
Duration: 2 days
Characteristics: Sharp pain, worsens with movement
Severity: 6/10
Aggravating factors: Movement, gripping objects
Relieving factors: Rest, ice (mild relief)
Radiation: None
, Timing: Constant with intermittent worsening
Associated symptoms:
Swelling
Mild bruising
Limited range of motion
Denies:
Numbness
Tingling
Open wounds
Fever
� Past Medical History (PMH)
