Alicia Smiley iHuman Exam Study Guide –
13-Year-Old Itchy Skin Case 2026/2027
Alicia Smiley — iHuman Exam Study Guide | Page 1
,1. Patient Demographics & Identifying Data
Element Case-study entry
Patient Alicia Smiley
Initials A.S.
Age 13 years
Gender Female
Ethnicity Not provided in the source image; ethnicity is
not inferred from appearance.
Height 5′2″ (157 cm)
Weight 104.0 lb (47.3 kg / 47.3 kg)
BMI ≈19.2 kg/m² (calculated from 47.3 kg and
1.57 m)
Occupation / role Middle-school student
Living situation Educational reconstruction: lives with
parent/guardian; household details require
confirmation.
Source of Patient, with parent/guardian available to
information corroborate history; reliability assumed good
for this academic scenario.
Setting Outpatient primary-care / pediatric clinic
Clinical Context
The visible case card identifies the presenting problem as itchy skin
(pruritus). In a 13-year-old, the history should distinguish inflammatory
eczema, scabies, contact dermatitis, fungal disease, urticaria,
infestation, and less common systemic causes. Pruritus is assessed
through careful skin examination plus exposure, medication, family,
and household history.
Alicia Smiley — Pediatric Itchy Skin Case Study | Page 2
, 2. Chief Complaint & 3. History of Present Illness
Item Clinical reconstruction
Chief complaint “My skin is really itchy.”
(patient's words)
Onset Approximately 3 weeks before the visit;
gradual onset rather than sudden onset.
Location Predominantly antecubital and popliteal
flexures, with intermittent itch on the neck
and wrists.
Duration / pattern Persistent symptoms with fluctuating
intensity; worse in the evening and after
bathing.
Characteristics Pruritic, dry, irritated skin with scratching;
burning is minimal and pain is absent.
Aggravating factors Heat, sweating, fragranced soaps/body
products, dry air, and scratching.
Relieving factors Cool environment, short lukewarm bathing,
bland moisturizer, and avoiding fragranced
products.
Treatment tried Intermittent OTC moisturizer; no prescribed
medication before this visit. Response
incomplete.
Severity Approx. 7/10 at worst; about 4/10 at rest
during the day.
Associated Dryness and excoriation; no fever, malaise,
symptoms dyspnea, facial swelling, or mucosal lesions
in this reconstruction.
Functional effect Itch may interfere with concentration and
sleep when severe.
Alicia Smiley — Pediatric Itchy Skin Case Study | Page 3
13-Year-Old Itchy Skin Case 2026/2027
Alicia Smiley — iHuman Exam Study Guide | Page 1
,1. Patient Demographics & Identifying Data
Element Case-study entry
Patient Alicia Smiley
Initials A.S.
Age 13 years
Gender Female
Ethnicity Not provided in the source image; ethnicity is
not inferred from appearance.
Height 5′2″ (157 cm)
Weight 104.0 lb (47.3 kg / 47.3 kg)
BMI ≈19.2 kg/m² (calculated from 47.3 kg and
1.57 m)
Occupation / role Middle-school student
Living situation Educational reconstruction: lives with
parent/guardian; household details require
confirmation.
Source of Patient, with parent/guardian available to
information corroborate history; reliability assumed good
for this academic scenario.
Setting Outpatient primary-care / pediatric clinic
Clinical Context
The visible case card identifies the presenting problem as itchy skin
(pruritus). In a 13-year-old, the history should distinguish inflammatory
eczema, scabies, contact dermatitis, fungal disease, urticaria,
infestation, and less common systemic causes. Pruritus is assessed
through careful skin examination plus exposure, medication, family,
and household history.
Alicia Smiley — Pediatric Itchy Skin Case Study | Page 2
, 2. Chief Complaint & 3. History of Present Illness
Item Clinical reconstruction
Chief complaint “My skin is really itchy.”
(patient's words)
Onset Approximately 3 weeks before the visit;
gradual onset rather than sudden onset.
Location Predominantly antecubital and popliteal
flexures, with intermittent itch on the neck
and wrists.
Duration / pattern Persistent symptoms with fluctuating
intensity; worse in the evening and after
bathing.
Characteristics Pruritic, dry, irritated skin with scratching;
burning is minimal and pain is absent.
Aggravating factors Heat, sweating, fragranced soaps/body
products, dry air, and scratching.
Relieving factors Cool environment, short lukewarm bathing,
bland moisturizer, and avoiding fragranced
products.
Treatment tried Intermittent OTC moisturizer; no prescribed
medication before this visit. Response
incomplete.
Severity Approx. 7/10 at worst; about 4/10 at rest
during the day.
Associated Dryness and excoriation; no fever, malaise,
symptoms dyspnea, facial swelling, or mucosal lesions
in this reconstruction.
Functional effect Itch may interfere with concentration and
sleep when severe.
Alicia Smiley — Pediatric Itchy Skin Case Study | Page 3
