Name: Robert Thompson
Age: 72 years old
Gender: Male
Setting: Outpatient Primary Care Clinic with laboratory capabilities
Chief Complaint: “I found a strange mole on my back that’s
changing.”
Reason for Encounter: Unusual mole
History of Present Illness (HPI)Narrative: Robert Thompson, a 72-year-
old Caucasian male, presents to the outpatient clinic with a concerning
mole on his upper right back, noticed 3 months ago. He reports the
mole has grown to ~8 mm, with irregular shape, color changes (brown
to black), and mild itching. It bleeds occasionally when scratched but is
not painful. He denies systemic symptoms (e.g., fever, weight loss).