Name: Robert Thompson
Age: 72 years old
Gender: Male
Setting: Outpatient Primary Care Clinic with laboratory capabilities
Chief Complaint: “I have a mole on my back that’s been changing
and looks weird.”
Reason for Encounter: Unusual mole
History of Present Illness (HPI)Narrative: Robert Thompson, a 72-year-
old Caucasian male, presents to the outpatient clinic reporting a
concerning mole on his upper right back, noticed 4 months ago. He
describes the mole as dark, asymmetrical, approximately 7 mm in
diameter, with irregular borders and recent itching. It has grown slightly
and bled once after scratching. He denies pain, ulceration, or systemic