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WEEK 4 CLASS 6512 COMPREHENSIVE DETAILED IHUMAN CASE STUDY FOR A 13
YEARS OLD FEMALE REASON FOR ENCOUNTER PRURITUS (ITHCY SKIN) WITH
PHYSICAL EXAM, ASSESSMENT, KEY FINDINGS, DIAGNOSTIC TEST, MANAGEMENT
PLAN AND FINAL DIAGNOSIS
ALIGNED WITH WALDEN UNIVERSITY RN CURRICULUM
PATIENT INFORMATION
Name: Emily Johnson
Age: 13 years
Sex: Female
Height: 5’ 2” (157cm)
Weight: 104lb (47.3kg)
Occupation: Student
Reason for Encounter: Pruritus (itchy skin)
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Chief Complaint (CC)
"My skin has been really itchy for the past week, especially on my arms and legs."
• Duration: 7 days
• Location: Forearms, legs, and occasional patches on the torso
• Character: Persistent, pruritic sensation with small raised bumps
History of Present Illness (HPI)
13-year-old female who presents with complaints of generalized itchy skin for the past 7 days,
primarily on her forearms, legs, and occasional patches on the torso. Her mother reports that
the itching began gradually and has been progressively worsening. Emily describes the itch as
moderate in intensity (6/10 on subjective scale), persistent throughout the day, and worse at
night, which interferes with sleep.
The mother denies any recent infections, fever, or systemic symptoms. Emily reports occasional
small red bumps on affected areas but denies blistering, oozing, or pain. She notes that
scratching temporarily relieves the itch, but it often leads to increased redness and irritation.
Cool baths and moisturizing provide temporary relief.
Emily’s mother states that Emily has never experienced a similar rash before, and there is no
known exposure to new soaps, detergents, or environmental allergens in the past week. She
recently returned from a week-long camping trip, during which she wore shorts and t-shirts
most of the time. Emily denies recent contact with anyone with a similar rash.
The patient has no history of asthma, allergic rhinitis, or eczema, but her maternal aunt has a
history of eczema. There is no history of recent medication changes, insect bites, or new foods,
and she has not applied any new lotions or creams recently.
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HPI QUESTIONS AND ANSWERS
1. When did the itching start?
Answer: The itching started approximately 7 days ago and has gradually worsened over the past
week.
2. Where is the itching located?
Answer: The itching is mainly on the forearms, legs, and occasional patches on the torso.
3. How would you describe the sensation?
Answer: Emily describes it as a persistent, moderate pruritus (6/10). The affected areas also
have small, raised red bumps.
4. How long does the itching last?
Answer: The itching is constant throughout the day, worse at night, and interferes with sleep.
5. What makes it better or worse?
Answer:
• Relieving factors: Cool baths, applying moisturizer
• Aggravating factors: Scratching, heat, tight clothing, wool fabrics
6. Are there any associated symptoms?
Answer: Mild redness and irritation at affected areas. No pain, no oozing, no fever, and no
systemic symptoms.
7. Has this happened before?
WEEK 4 CLASS 6512 COMPREHENSIVE DETAILED IHUMAN CASE STUDY FOR A 13
YEARS OLD FEMALE REASON FOR ENCOUNTER PRURITUS (ITHCY SKIN) WITH
PHYSICAL EXAM, ASSESSMENT, KEY FINDINGS, DIAGNOSTIC TEST, MANAGEMENT
PLAN AND FINAL DIAGNOSIS
ALIGNED WITH WALDEN UNIVERSITY RN CURRICULUM
PATIENT INFORMATION
Name: Emily Johnson
Age: 13 years
Sex: Female
Height: 5’ 2” (157cm)
Weight: 104lb (47.3kg)
Occupation: Student
Reason for Encounter: Pruritus (itchy skin)
,2
Chief Complaint (CC)
"My skin has been really itchy for the past week, especially on my arms and legs."
• Duration: 7 days
• Location: Forearms, legs, and occasional patches on the torso
• Character: Persistent, pruritic sensation with small raised bumps
History of Present Illness (HPI)
13-year-old female who presents with complaints of generalized itchy skin for the past 7 days,
primarily on her forearms, legs, and occasional patches on the torso. Her mother reports that
the itching began gradually and has been progressively worsening. Emily describes the itch as
moderate in intensity (6/10 on subjective scale), persistent throughout the day, and worse at
night, which interferes with sleep.
The mother denies any recent infections, fever, or systemic symptoms. Emily reports occasional
small red bumps on affected areas but denies blistering, oozing, or pain. She notes that
scratching temporarily relieves the itch, but it often leads to increased redness and irritation.
Cool baths and moisturizing provide temporary relief.
Emily’s mother states that Emily has never experienced a similar rash before, and there is no
known exposure to new soaps, detergents, or environmental allergens in the past week. She
recently returned from a week-long camping trip, during which she wore shorts and t-shirts
most of the time. Emily denies recent contact with anyone with a similar rash.
The patient has no history of asthma, allergic rhinitis, or eczema, but her maternal aunt has a
history of eczema. There is no history of recent medication changes, insect bites, or new foods,
and she has not applied any new lotions or creams recently.
, 3
HPI QUESTIONS AND ANSWERS
1. When did the itching start?
Answer: The itching started approximately 7 days ago and has gradually worsened over the past
week.
2. Where is the itching located?
Answer: The itching is mainly on the forearms, legs, and occasional patches on the torso.
3. How would you describe the sensation?
Answer: Emily describes it as a persistent, moderate pruritus (6/10). The affected areas also
have small, raised red bumps.
4. How long does the itching last?
Answer: The itching is constant throughout the day, worse at night, and interferes with sleep.
5. What makes it better or worse?
Answer:
• Relieving factors: Cool baths, applying moisturizer
• Aggravating factors: Scratching, heat, tight clothing, wool fabrics
6. Are there any associated symptoms?
Answer: Mild redness and irritation at affected areas. No pain, no oozing, no fever, and no
systemic symptoms.
7. Has this happened before?
