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I-HUMAN Case Study Week 4: 13-Year-Old Female with Itchy Skin (Pruritus) – Comprehensive SOAP Note & Management Plan

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This comprehensive I-HUMAN case study evaluates a 13-year-old female presenting with generalized pruritus (itchy skin) of 2–3 weeks duration, primarily affecting flexural areas and worsening at night. The case requires a systematic approach including a detailed history of present illness (HPI) using the OLDCARTS framework, complete review of systems (ROS), focused physical examination, differential diagnosis, evidence-based management plan, and patient education. The leading diagnosis is Atopic Dermatitis (Eczema) , supported by family history of atopy, flexural involvement, xerosis, and symptom exacerbation by irritants. Key differentials include Scabies, Allergic Contact Dermatitis, Psoriasis, and Urticaria. The management plan incorporates pharmacologic (topical corticosteroids, oral antihistamines) and non-pharmacologic strategies (skin hydration, trigger avoidance, bathing guidance) with a 1-week follow-up for reassessment

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I-HUMAN CASE STUDY WEEK 4: 13-YEAR-OLD
FEMALE WITH ITCHY SKIN PRURITUS WITH FULL
DETAILES OF COMPREHENSIVE SOAP NOTE AND
MANAGEMENT PLAN BY I-HUMAN PATIENTS
ACADEMIC TEAM LATEST EDITION 2026 -2027
QUALIFIED EXAM 100% PASS.!!!

, Case Presentation
A 13-year-old female presents to the clinic with complaints of generalized itching (pruritus)
for the past 3 weeks. The itching is worse at night and has progressively intensified. She reports
scratching to the point of skin irritation and occasional bleeding.

She denies fever, weight loss, or recent illness. No new medications. However, her mother notes
that the patient recently started using a new scented body wash and detergent. The patient is
active in school and recently joined a swim team.

She has a past medical history of mild seasonal allergies. No history of asthma or eczema
diagnosed previously. No known drug allergies. Immunizations are up to date.

Family history is notable for asthma in the mother and allergic rhinitis in a sibling.




Section 1: SOAP Note (40 marks
Subjective

Chief Complaint (CC):
“Itching all over my body for 3 weeks.”

History of Present Illness (HPI):
13-year-old female with a 3-week history of progressively worsening generalized pruritus.
Symptoms are worse at night and after bathing. Reports excoriations due to scratching. Denies
rash at onset but now has visible skin changes. No associated fever, fatigue, or systemic
symptoms. Possible triggers include new scented soap and laundry detergent. Swimming
exposure noted.

Past Medical History (PMH):

• Seasonal allergic rhinitis
• No chronic dermatologic conditions

Medications:

• Occasional antihistamines for allergies

Allergies:

• No known drug allergies

Family History:

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July 5, 2026
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