ENCOUNTER BLOOD PRESSURE RECHECK LATEST !!
History
Chief Complaint:
"I developed a new rash on my arms, chest, and back 3 days ago. It's itchy."
History of Present Illness (HPI):
Onset: Rash developed approximately 3 days ago
Location: Predominantly on the upper arms, chest, and upper back
, Quality: Pruritic (itchy), maculopapular in nature
Duration: Persistent for 3 days, no relief
Associated Symptoms: Some fatigue, but no fever, headache, or muscle aches
Aggravating Factors: Worse with heat or friction from clothing
Relieving Factors: None noted, has tried over-the-counter hydrocortisone cream without significant
benefit
Previous Episodes: Denies any history of prior similar rash or dermatologic issues
Past Medical History (PMH):
General Health: Basically healthy, no chronic illness or major surgery
Medications: None currently, no medication changes recently
Allergies: No environmental or drug allergy known
Immunizations: Up to date
Family History:
No autoimmune disease or chronic skin disease in family history
No family history of rashes or other skin disorders
Social History:
Occupation: Office worker, no chemical or irritant exposures at work