i-Human Case Study Week #2: Lauren Paluch
25-Year-Old Female Presenting with New Rash – Pityriasis Rosea
Complete SOAP Note & Clinical Reasoning Guide (2025/2026 Edition)
I. Patient Demographics
Category Information
Name Lauren Paluch (25-year-old female)
Age 25 years
Sex Female
Height 5'5" – 5'6" (approximately 165–168 cm)
Weight 120 lb (approximately 54.4 kg)
BMI ~19.6 (normal range)
Setting Outpatient clinic with x-ray, ECG, and laboratory capabilities
, II. Chief Complaint (CC)
"New rash on my body for 4–7 days"
III. History of Present Illness (HPI)
Timeline & Progression
Onset: 4–7 days ago
Initial Lesion: Started as a herald patch on the abdomen/chest
Spread: Followed by generalized truncal eruption on the back and proximal upper extremities
Pattern: Classic "Christmas tree" pattern distributed along Langer's lines
Symptoms
Pruritus: Mild itching present
Systemic Symptoms: No fever, chills, weight loss, or other systemic complaints
Prodromal Symptoms
Recent sore throat: Self-limited viral prodrome noted
25-Year-Old Female Presenting with New Rash – Pityriasis Rosea
Complete SOAP Note & Clinical Reasoning Guide (2025/2026 Edition)
I. Patient Demographics
Category Information
Name Lauren Paluch (25-year-old female)
Age 25 years
Sex Female
Height 5'5" – 5'6" (approximately 165–168 cm)
Weight 120 lb (approximately 54.4 kg)
BMI ~19.6 (normal range)
Setting Outpatient clinic with x-ray, ECG, and laboratory capabilities
, II. Chief Complaint (CC)
"New rash on my body for 4–7 days"
III. History of Present Illness (HPI)
Timeline & Progression
Onset: 4–7 days ago
Initial Lesion: Started as a herald patch on the abdomen/chest
Spread: Followed by generalized truncal eruption on the back and proximal upper extremities
Pattern: Classic "Christmas tree" pattern distributed along Langer's lines
Symptoms
Pruritus: Mild itching present
Systemic Symptoms: No fever, chills, weight loss, or other systemic complaints
Prodromal Symptoms
Recent sore throat: Self-limited viral prodrome noted
