i-Human DDx Case: Adolescent Female Presenting with
Generalized Pruritus
Comprehensive Pediatric Case Study
1. Patient Demographics & Identifying Data
• Initials: A.S.
• Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Ethnicity: African American
• Height: 5'2" (157 cm)
, • Weight: 104 lb (47.3 kg)
• Occupation: Eighth-grade student
• Living Situation: Lives with her mother, father, and older
sister in a single-family home. The family has one indoor
cat. No tobacco exposure in the home.
• Source of Information: Patient and father; both are
reliable historians.
2. Chief Complaint (CC)
"My skin has been itching all over, and now I have a red rash
on my arms and stomach."
3. History of Present Illness (HPI) – OLD CARTS
Onset
The itching started 10 days ago after spending several
afternoons swimming in a community pool. The rash developed
approximately three days later.
Location
The rash is primarily located on the abdomen, upper arms,
thighs, and lower back.
Duration
, The itching is present throughout the day but worsens after
bathing and at bedtime.
Characteristics
The patient describes the rash as small red bumps that itch
intensely. She denies pain but reports occasional burning after
scratching.
Aggravating Factors
• Warm showers
• Sweating during sports
• Tight-fitting clothing
• Scratching the affected areas
Relieving Factors
• Cool compresses
• Fragrance-free moisturizing lotion
• Loose-fitting clothing
• Staying in an air-conditioned environment
Treatment
The patient has used:
• Calamine lotion twice daily
• Oatmeal baths
Generalized Pruritus
Comprehensive Pediatric Case Study
1. Patient Demographics & Identifying Data
• Initials: A.S.
• Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Ethnicity: African American
• Height: 5'2" (157 cm)
, • Weight: 104 lb (47.3 kg)
• Occupation: Eighth-grade student
• Living Situation: Lives with her mother, father, and older
sister in a single-family home. The family has one indoor
cat. No tobacco exposure in the home.
• Source of Information: Patient and father; both are
reliable historians.
2. Chief Complaint (CC)
"My skin has been itching all over, and now I have a red rash
on my arms and stomach."
3. History of Present Illness (HPI) – OLD CARTS
Onset
The itching started 10 days ago after spending several
afternoons swimming in a community pool. The rash developed
approximately three days later.
Location
The rash is primarily located on the abdomen, upper arms,
thighs, and lower back.
Duration
, The itching is present throughout the day but worsens after
bathing and at bedtime.
Characteristics
The patient describes the rash as small red bumps that itch
intensely. She denies pain but reports occasional burning after
scratching.
Aggravating Factors
• Warm showers
• Sweating during sports
• Tight-fitting clothing
• Scratching the affected areas
Relieving Factors
• Cool compresses
• Fragrance-free moisturizing lotion
• Loose-fitting clothing
• Staying in an air-conditioned environment
Treatment
The patient has used:
• Calamine lotion twice daily
• Oatmeal baths
