NURS 2026 IHUMAN WEEK 9 COMPREHENSIVE CASE STUDY - SHANE PETERSON PREVENTIVE PHYSICAL EXAM WITH SOAP NOTE, LAB RESULTS & CLINICAL MANAGEMENT PLANPATIENT OVERVIEW & DEMOGRAPHICS Demographic Information Patient Name Shane Peterson Age 49 years old Date of Birth 03/15/1975 Sex / Gender Male / Male Race / Ethnicity Caucasian / Non-Hispanic Marital Status Married, living with wife Employment Accountant, full-time (sedentary job) Insurance Private PPO Primary Language English Visit Type Annual Physical Examination Setting Outpatient Primary Care Clinic Date of Visit 10/15/2024 Time of Visit 09:30 AMDemographic Information Source of History Patient (reliable) Mode of Arrival Walk-in SECTION 2: CHIEF COMPLAINT (CC) & HISTORY OF PRESENT ILLNESS (HPI) Chief Complaint (in patient's own words): "I'm here for my yearly check-up. I've been feeling generally okay, but I've been a bit more tired than usual lately, and I'm worried about my family history of heart problems." History of Present Illness (HPI): Shane Peterson is a 49-year-old male presenting for his scheduled annual physical examination. He reports being generally healthy but notes a gradual onset of fatigue over the past 3-4 months. He describes the fatigue as a lack of energy, especially in the afternoons, which is impacting his motivation to