i-Human Patients Academic Case: Itchy Skin in an Adolescent
Female
Comprehensive Pediatric Case Study
1. Patient Demographics & Identifying Data
• Initials: A.S.
• Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Ethnicity: Native American
• Height: 5'2" (157 cm)
, • Weight: 104 lb (47.3 kg)
• Occupation: Eighth-grade student
• Living Situation: Lives with her mother, father, and
younger sister in a rural community. The family owns two
dogs. No tobacco exposure in the home.
• Source of Information: Patient and mother; both are
reliable historians.
2. Chief Complaint (CC)
"I have a painful, swollen area on my right leg that started
after I scraped my knee."
3. History of Present Illness (HPI) – OLD CARTS
Onset
The patient scraped her right lower leg while riding her bicycle
6 days ago. Two days later, the wound became increasingly red,
swollen, and painful.
Location
The symptoms are localized to the anterior right lower leg, just
below the knee.
Duration
, The pain and swelling have progressively worsened over the
past four days.
Characteristics
The patient describes the pain as throbbing, constant, and
tender to touch. She also reports warmth around the wound
and difficulty walking due to discomfort.
Aggravating Factors
• Walking
• Touching the affected area
• Standing for prolonged periods
Relieving Factors
• Elevating the leg
• Rest
• Ibuprofen provides temporary relief
Treatment
The wound was cleaned with soap and water immediately after
the injury. Triple-antibiotic ointment and adhesive bandages
have been applied daily. Ibuprofen 200 mg has been taken
every 6 hours as needed for pain.
Severity
• Pain: 8/10
Female
Comprehensive Pediatric Case Study
1. Patient Demographics & Identifying Data
• Initials: A.S.
• Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Ethnicity: Native American
• Height: 5'2" (157 cm)
, • Weight: 104 lb (47.3 kg)
• Occupation: Eighth-grade student
• Living Situation: Lives with her mother, father, and
younger sister in a rural community. The family owns two
dogs. No tobacco exposure in the home.
• Source of Information: Patient and mother; both are
reliable historians.
2. Chief Complaint (CC)
"I have a painful, swollen area on my right leg that started
after I scraped my knee."
3. History of Present Illness (HPI) – OLD CARTS
Onset
The patient scraped her right lower leg while riding her bicycle
6 days ago. Two days later, the wound became increasingly red,
swollen, and painful.
Location
The symptoms are localized to the anterior right lower leg, just
below the knee.
Duration
, The pain and swelling have progressively worsened over the
past four days.
Characteristics
The patient describes the pain as throbbing, constant, and
tender to touch. She also reports warmth around the wound
and difficulty walking due to discomfort.
Aggravating Factors
• Walking
• Touching the affected area
• Standing for prolonged periods
Relieving Factors
• Elevating the leg
• Rest
• Ibuprofen provides temporary relief
Treatment
The wound was cleaned with soap and water immediately after
the injury. Triple-antibiotic ointment and adhesive bandages
have been applied daily. Ibuprofen 200 mg has been taken
every 6 hours as needed for pain.
Severity
• Pain: 8/10
