Pediatric i-Human Week 4 Case Study: 13-Year-
Old Female With Itchy Skin | Complete SOAP
Note, Differential Diagnosis & Evidence-Based
Management (2026)
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,
, CASE OVERVIEW
A 13-year-old female presents to the pediatric outpatient clinic with a two-week
history of worsening generalized itching accompanied by a rash involving the
flexural areas of both elbows, behind both knees, and the neck.
The patient's mother reports that the itching has become severe enough to interfere
with sleep and school concentration. Several over-the-counter moisturizing creams
have provided minimal improvement.
The patient denies fever, sore throat, recent illness, or exposure to individuals with
contagious skin diseases.
The purpose of this simulation is to evaluate pediatric pruritic skin disorders while
developing differential diagnosis skills.
LEARNING OBJECTIVES
Upon completion of this case, the learner should be able to:
• Obtain an age-appropriate pediatric history.
• Perform a focused dermatologic assessment.
• Recognize common causes of pediatric pruritus.
• Differentiate atopic dermatitis from other dermatologic disorders.
• Select appropriate laboratory investigations when indicated.
• Develop evidence-based treatment plans.
• Educate patients regarding chronic eczema management.
• Prevent secondary bacterial infection.
PATIENT INFORMATION
Category Details
Name Emily Johnson (Fictional)
Age 13 Years
Old Female With Itchy Skin | Complete SOAP
Note, Differential Diagnosis & Evidence-Based
Management (2026)
LEAVE YOUR RATING⭐⭐⭐⭐⭐
,
, CASE OVERVIEW
A 13-year-old female presents to the pediatric outpatient clinic with a two-week
history of worsening generalized itching accompanied by a rash involving the
flexural areas of both elbows, behind both knees, and the neck.
The patient's mother reports that the itching has become severe enough to interfere
with sleep and school concentration. Several over-the-counter moisturizing creams
have provided minimal improvement.
The patient denies fever, sore throat, recent illness, or exposure to individuals with
contagious skin diseases.
The purpose of this simulation is to evaluate pediatric pruritic skin disorders while
developing differential diagnosis skills.
LEARNING OBJECTIVES
Upon completion of this case, the learner should be able to:
• Obtain an age-appropriate pediatric history.
• Perform a focused dermatologic assessment.
• Recognize common causes of pediatric pruritus.
• Differentiate atopic dermatitis from other dermatologic disorders.
• Select appropriate laboratory investigations when indicated.
• Develop evidence-based treatment plans.
• Educate patients regarding chronic eczema management.
• Prevent secondary bacterial infection.
PATIENT INFORMATION
Category Details
Name Emily Johnson (Fictional)
Age 13 Years
