ITCHY SKIN ON A 13-YEAR-OLD FEMALE – COMPLETE CASE
GUIDE LOCATION OUTPATIENT CLINIC WITH LABORATORY
CAPABILITIES FULL SCREENSHOTS 2026 MARCH
,Clinician–Patient Dialogue
Category Clinician Question Caregiver Response
Chief Complaint What brings you in today with Madison? ""Her skin has been incredibly itchy
for two weeks, and it's starting to
look weepy.""
History How long has she dealt with skin issues? ""She has had sensitive skin since she
was a baby and was diagnosed with
eczema at age one.""
Onset When did this specific flare-up start? ""It started getting dry and itchy about
two months ago.""
Progression Has it changed at all in the last few days? ""Yes, over the last week it became
constant, and now it's leaking fluid.""
Severity On a scale of 1 to 10, how bad is her itching? ""She says it is a 9 out of 10.""
Timing Is the itch worse at any particular time of day? ""It is most severe at night and wakes
her up constantly.""
Character Does she ever scratch enough to break the skin? ""Yes, I often find blood on her
bedsheets in the morning.""
Location Where exactly is the rash located? ""Mainly in the crooks of her arms,
behind her knees, her neck, wrists, and
eyelids.""
Character What does the 'weeping' skin look like now? ""It has developed these thick,
honey-colored crusts over the raw
areas.""
Triggers Have you noticed anything that makes the ""Sweating during soccer practice and
itching worse? wool fabrics really bother her.""
Triggers Does the weather seem to affect her skin? ""The recent cold weather and indoor
heating have made her skin much
drier.""
Relief Does anything help make her feel better? ""Cool compresses give her a little bit
of temporary relief.""
, Medications What have you been using to treat this at home? ""We've tried OTC hydrocortisone
cream and Aquaphor, but nothing is
working.""
Medications Is she taking any allergy medicine? ""She takes 10mg of Cetirizine at
night.""
Fever Has she had any fever or chills? ""No.""
URI Symptoms Does she have any runny nose or watery eyes? ""Yes, her usual seasonal allergies are
acting up.""
Sleep How has she been feeling overall? ""She is very exhausted because she
can't sleep through the night.""
Past Medical History Does she have any other medical conditions? ""She has mild asthma and seasonal
allergies.""
Allergies Does she have any known drug allergies? ""Yes, she is allergic to Penicillin.""
Family History Does anyone else in the family have skin or ""I have allergies, her father had
allergy issues? asthma, and her grandmother had bad
eczema.""
Environment Do you have any pets in the home? ""No, we don't have any pets.""
Activity Is she staying active despite the rash? ""She plays on the school soccer team
three times a week.""
Social History Has she been under a lot of stress lately? ""She’s a bit stressed with her
8th-grade mid-term exams coming
up.""
Past Episodes Has her eczema ever been this bad before? ""No, this is the most severe flare she
has ever experienced.""
Hydration Does she drink enough water during the day? ""She drinks about 3 or 4 glasses a
day.""
GUIDE LOCATION OUTPATIENT CLINIC WITH LABORATORY
CAPABILITIES FULL SCREENSHOTS 2026 MARCH
,Clinician–Patient Dialogue
Category Clinician Question Caregiver Response
Chief Complaint What brings you in today with Madison? ""Her skin has been incredibly itchy
for two weeks, and it's starting to
look weepy.""
History How long has she dealt with skin issues? ""She has had sensitive skin since she
was a baby and was diagnosed with
eczema at age one.""
Onset When did this specific flare-up start? ""It started getting dry and itchy about
two months ago.""
Progression Has it changed at all in the last few days? ""Yes, over the last week it became
constant, and now it's leaking fluid.""
Severity On a scale of 1 to 10, how bad is her itching? ""She says it is a 9 out of 10.""
Timing Is the itch worse at any particular time of day? ""It is most severe at night and wakes
her up constantly.""
Character Does she ever scratch enough to break the skin? ""Yes, I often find blood on her
bedsheets in the morning.""
Location Where exactly is the rash located? ""Mainly in the crooks of her arms,
behind her knees, her neck, wrists, and
eyelids.""
Character What does the 'weeping' skin look like now? ""It has developed these thick,
honey-colored crusts over the raw
areas.""
Triggers Have you noticed anything that makes the ""Sweating during soccer practice and
itching worse? wool fabrics really bother her.""
Triggers Does the weather seem to affect her skin? ""The recent cold weather and indoor
heating have made her skin much
drier.""
Relief Does anything help make her feel better? ""Cool compresses give her a little bit
of temporary relief.""
, Medications What have you been using to treat this at home? ""We've tried OTC hydrocortisone
cream and Aquaphor, but nothing is
working.""
Medications Is she taking any allergy medicine? ""She takes 10mg of Cetirizine at
night.""
Fever Has she had any fever or chills? ""No.""
URI Symptoms Does she have any runny nose or watery eyes? ""Yes, her usual seasonal allergies are
acting up.""
Sleep How has she been feeling overall? ""She is very exhausted because she
can't sleep through the night.""
Past Medical History Does she have any other medical conditions? ""She has mild asthma and seasonal
allergies.""
Allergies Does she have any known drug allergies? ""Yes, she is allergic to Penicillin.""
Family History Does anyone else in the family have skin or ""I have allergies, her father had
allergy issues? asthma, and her grandmother had bad
eczema.""
Environment Do you have any pets in the home? ""No, we don't have any pets.""
Activity Is she staying active despite the rash? ""She plays on the school soccer team
three times a week.""
Social History Has she been under a lot of stress lately? ""She’s a bit stressed with her
8th-grade mid-term exams coming
up.""
Past Episodes Has her eczema ever been this bad before? ""No, this is the most severe flare she
has ever experienced.""
Hydration Does she drink enough water during the day? ""She drinks about 3 or 4 glasses a
day.""
