IHUMAN CASE STUDY. ALICIA
SMILEY, 13-YEAR-OLD.
REASON FOR ENCOUNTER:
ITCHY SKIN.
EXAM STUDY GUIDE. GRADED
A+. LATEST 2026/2027
UPDATE.
,TABLE OF CONTENTS
Section Title
1 Patient Demographics & Identifying Data
2 Chief Complaint (CC)
3 History of Present Illness (HPI) – The OLD CARTS Method
4 Past Medical History (PMH)
5 Review of Systems (ROS)
6 Social and Family History
8 Physical Examination (PE) – Objective Findings
9 Key Findings & Problem Statement
10 Diagnostic Tests (Labs & Imaging)
11 Differential Diagnosis (DDx)
12 Management Plan (Plan of Care)
13 SOAP Note
, 1. Patient Demographics and Identifying Data
• Patient Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Date of Birth: Not provided (13 years old)
• Ethnicity: Not specified
• Marital Status: Single (minor)
• Occupation: Student (Grade 8)
• Primary Language: English
• Accompanied By: Mother
• Source of History: Patient and mother (both reliable historians)
• Reason for Encounter (Chief Complaint): Itchy skin for approximately 2
weeks
• Date of Encounter: ____________________
• Setting: Outpatient primary care clinic / Paediatric clinic
Brief Patient Profile
• Alicia Smiley is a 13-year-old female student who presents with her
mother for evaluation of persistent itchy skin. She reports a two-week
history of itching associated with dry, red patches affecting the inside of
her elbows, behind her knees, neck, and wrists. The itching is worse at
night and has begun to interfere with her sleep, school concentration,
and daily activities. She has a history of childhood eczema and a family
history of eczema and seasonal allergies, making an atopic skin condition
the most likely because of her symptoms.
2. Chief Complaint (CC)
SMILEY, 13-YEAR-OLD.
REASON FOR ENCOUNTER:
ITCHY SKIN.
EXAM STUDY GUIDE. GRADED
A+. LATEST 2026/2027
UPDATE.
,TABLE OF CONTENTS
Section Title
1 Patient Demographics & Identifying Data
2 Chief Complaint (CC)
3 History of Present Illness (HPI) – The OLD CARTS Method
4 Past Medical History (PMH)
5 Review of Systems (ROS)
6 Social and Family History
8 Physical Examination (PE) – Objective Findings
9 Key Findings & Problem Statement
10 Diagnostic Tests (Labs & Imaging)
11 Differential Diagnosis (DDx)
12 Management Plan (Plan of Care)
13 SOAP Note
, 1. Patient Demographics and Identifying Data
• Patient Name: Alicia Smiley
• Age: 13 years
• Gender: Female
• Date of Birth: Not provided (13 years old)
• Ethnicity: Not specified
• Marital Status: Single (minor)
• Occupation: Student (Grade 8)
• Primary Language: English
• Accompanied By: Mother
• Source of History: Patient and mother (both reliable historians)
• Reason for Encounter (Chief Complaint): Itchy skin for approximately 2
weeks
• Date of Encounter: ____________________
• Setting: Outpatient primary care clinic / Paediatric clinic
Brief Patient Profile
• Alicia Smiley is a 13-year-old female student who presents with her
mother for evaluation of persistent itchy skin. She reports a two-week
history of itching associated with dry, red patches affecting the inside of
her elbows, behind her knees, neck, and wrists. The itching is worse at
night and has begun to interfere with her sleep, school concentration,
and daily activities. She has a history of childhood eczema and a family
history of eczema and seasonal allergies, making an atopic skin condition
the most likely because of her symptoms.
2. Chief Complaint (CC)
