PRESENTING WITH NEW ONSET RASH AT AN
OUTPATIENT CLINIC UTILIZING SYSTEMATIC HISTORY
DRIVEN DIAGNOSTIC REASONING, COMPREHENSIVE
DERMATOLOGIC ASSESSMENT, DIFFERENTIAL
DIAGNOSTIC DEVELOPMENT, AND EVIDENCE-BASED
MANAGEMENT IN A SIMULATED CLINICAL EDUCATIONAL
SETTING
,PATIENT INFORMATION
• Age: 25 years
• Sex: Female
• Height: 5′6″ (168 cm)
• Weight: 120 lb (54.4 kg)
• Location: Outpatient primary care clinic
• Reason for Encounter: New rash
Explanation: The patient is a 25-year-old female who presents with an acute onset rash that
began several days ago, affecting multiple body areas with pruritus and evolving
characteristics, requiring thorough assessment to identify etiology and initiate management.
, REASON FOR ENCOUNTER
Element Description
Encounter Type Outpatient clinic visit
Chief Complaint New rash
Duration Approximately 3–4 days
Frequency Persistent since onset
Associated Symptoms Itching, mild tenderness
Aggravating Factors Heat, friction from clothing
Relieving Factors Cool compress, avoidance of irritants
Systemic Symptoms No fever, chills, or systemic complaints
Patient Goals Identify cause of rash and effective treatment