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NursingProxyShadow Health & iHuman › Shane Paterson
iHuman Case Study

Shane Paterson — Wellness Check, Anemia & Acne Workup

Complete Shane Paterson iHuman case study covering adolescent wellness findings, persistent cystic acne, anemia history, elevated blood pressure, tachycardia, systolic murmur, and the follow-up and education points that shape care planning.

Age 17Anemia HistoryCystic AcneHolistic Teen Care
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Clinical Overview

Shane Paterson — iHuman Wellness Case

Shane Paterson is a 17-year-old male who presents for a wellness check with persistent cystic acne and a history of chronic blood loss and anemia. That combination makes the case stronger than generic adolescent-health copy because it ties dermatology, hematology, and cardiovascular cues together in one visit.

The worksheet keeps the case clinically specific: Shane has hemoglobin of 10 g/dL, blood pressure of 140/90 mmHg, tachycardia with heart rate 110 bpm, mild lower-lobe crackles, and a systolic murmur. He lives in a supportive home with his father, has no substance use or mental-health problems, and discloses being in a same-sex relationship, which adds important holistic and inclusive-care context.

The completed bundle reflects the actual Shane Paterson case flow: wellness-visit history, anemia and acne findings, adolescent sexual-health context, performance overview, hematology and dermatology follow-up planning, and education on iron intake, safe sex, and healthy lifestyle habits.

Primary Diagnosis: Adolescent wellness presentation with chronic anemia and cystic acne, plus cardiovascular findings that require additional follow-up, supported by low hemoglobin, elevated blood pressure, tachycardia, murmur, and planned specialty review
Included
History details, performance overview, anemia and acne findings, adolescent assessment context, and follow-up teaching points.
Best For
Adolescent wellness assessment, anemia workup, acne care review, inclusive communication, and iHuman coursework.
Available Documents
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  • Wellness-visit findings on persistent cystic acne and chronic blood-loss or anemia history
  • Objective cues including hemoglobin 10 g/dL, blood pressure 140/90 mmHg, tachycardia at 110 bpm, mild lower-lobe crackles, and a systolic murmur
  • Background details covering supportive home environment with father, no surgeries, no substance use, no mental-health problems, and family history significant for anemia
  • Recommendation details including iron supplementation, iron-rich diet counseling, dermatology and hematology follow-up, possible echocardiography, and nutrition referral
  • Teaching topics on acne care, safe sex, regular physical activity, and healthy lifestyle practices for adolescent follow-up
  • Post-case discussion on inclusive communication, barrier-to-care questions, and affirming assessment of sexual health and HPV or hepatitis B prevention

Adolescent wellness visit with real abnormal findings

Shane presents for a routine wellness visit, but the case includes more than a normal teen check because anemia, acne, elevated blood pressure, tachycardia, and murmur all appear in one encounter.

Anemia and cardiovascular cues that need follow-up

The case is useful because low hemoglobin, high blood pressure, tachycardia, mild crackles, and systolic murmur create a more complex picture than generic adolescent health maintenance.

Specialty follow-up and teaching that anchor the plan

The case documents iron supplementation, iron-rich diet counseling, hematology and dermatology follow-up, possible echocardiography, nutrition referral, acne care, and safe-sex teaching. That helps students connect the assessment to realistic adolescent follow-up, teaching, and planning.

Inclusive adolescent assessment that adds decision value

The case also makes clear that Shane is in a same-sex relationship and benefits from respectful, nonjudgmental communication. That gives the page stronger clinical and academic value than a symptom list alone.

Total ScorePerformance overview shows a 93% total score completed in 31 minutes and 2 seconds.
HistoryHistory shows 36 questions asked, 34 correct, and 1 missed relative to the case list.
PhysicalPhysical assessment shows 31 maneuvers performed, with 25 correct and 2 partially correct.
ExercisesExercises scored 11 out of 11, while nurse notes were only 1 word long compared with the case’s 24 words.
  • Shane Paterson is a 17-year-old male who presents for a wellness check with persistent cystic acne and a history of chronic blood loss or prior anemia.
  • He reports living with his father in a supportive home environment, has no surgery history, does not use substances, and has no mental-health problems noted in the worksheet.
  • The case also includes his disclosure that he is in a same-sex relationship, which adds important holistic and affirming communication context.
  • Family history is significant for anemia, and upcoming hematology and dermatology appointments are already part of the plan, which strengthens the page’s follow-up depth.
  • The post-case reflection also highlights asking about barriers to healthcare, stigma, and access to services, which gives the page a more complete adolescent-care perspective.
  • That combination makes the page useful for students who need both the objective findings and the respectful communication reasoning that follows.

Objective and worksheet findings that matter most

The strongest objective anchors in the case are hemoglobin 10 g/dL, blood pressure 140/90 mmHg, heart rate 110 bpm, cystic acne, mild lower-lobe crackles, and a systolic murmur. Those make the page more useful than a generic adolescent summary.

Performance breakdown and missed items

The performance overview also shows a 93% total, 36 questions asked with 34 correct and 1 missed, 31 physical assessments with 25 correct and 2 partial, and only a 1-word nurse note. That gives the product a realistic assignment-improvement angle instead of stopping at symptom description.

SBAR content details

The summary works because it frames Shane as an adolescent wellness patient with dermatologic, hematologic, and cardiovascular findings plus identity-sensitive assessment needs that directly shape the follow-up plan.

Immediate recommendations

The management value in this case comes from moving beyond wellness screening toward iron supplementation, dietary counseling, specialty follow-up, possible echocardiography, acne teaching, and safe-sex education.

What the reflection answers add

The post-case discussion adds academic value too because it explicitly addresses inclusive, nonjudgmental communication, sexual-health screening, and vaccination review for HPV and hepatitis B, which is useful for students trying to understand what the case actually rewarded.

Why the post-case section still matters

The education details add practical academic depth too: iron-rich foods, acne care, physical activity, nutrition referral, and affirming communication around sexuality and access to care.

FAQ

Common questions about Shane Paterson iHuman results

The page combines cystic acne, anemia history, low hemoglobin, high blood pressure, tachycardia, mild crackles, systolic murmur, family anemia history, and inclusive adolescent assessment. That gives it much more depth than routine symptom copy.

The low hemoglobin, blood pressure of 140/90, heart rate 110, cystic acne, mild lower-lobe crackles, and systolic murmur matter most because they strongly support a more complex adolescent assessment than a simple routine checkup.

The case emphasizes iron supplementation, iron-rich diet counseling, hematology and dermatology follow-up, possible echocardiography for cardiac findings, nutrition referral, acne care, safe-sex education, and healthy lifestyle reinforcement.

The teaching points focus on iron-rich foods, acne care, safe-sex counseling, healthy lifestyle habits, respectful communication, and reducing barriers to care for an adolescent in a same-sex relationship.

Yes. The updated content is based on the attached Shane worksheet and overview materials, including the anemia and acne findings, cardiovascular assessment, performance summary, and the inclusive communication topics discussed in the post-case questions.