, ADVANCED CLINICAL CASE SIMULATION Integumentary
Application: Complex Differential Diagnosis and Management
Disclaimer: This is an original, educational case simulation designed for advanced nursing
clinical practice (APRN/DNP level). It is not affiliated with, nor does it represent, any proprietary
i-Human or KSI case. All clinical data, dialogues, and rationales are synthesized for educational
purposes.
PHASE 1: PATIENT PRESENTATION & DATA COLLECTION
Patient Demographics:
• Name: Katherine Moore
• Age: 66 years
• Sex: Female
• Race/Ethnicity: White, English-speaking
• Marital Status: Widowed
• Height/Weight: 5'4" (162.5 cm) / 145 lbs (65.8 kg)
• BMI: 24.9 (Normal weight)
Chief Complaint: "I have a painful rash on my left side that just won't go away."
History of Present Illness (HPI):
Mrs. Moore is a 66-year-old widowed female who presents to the clinic with a 5-day history of a
painful, burning rash located on the left side of her torso. She describes the pain as a "deep,
burning, electric shock" sensation that precedes the visible rash by about 2 days. She rates the
pain as 7/10 at its worst, interfering with sleep and daily activities. She initially noticed a few red
bumps, which have now clustered into fluid-filled blisters. She reports mild subjective fevers and
chills but denies nausea or vomiting. She has tried over-the-counter hydrocortisone cream and
oral diphenhydramine with minimal relief. She denies any recent trauma, insect bites, or new
soaps/detergents. She is concerned because she has never had this before and fears it might be
"shingles," as she remembers her late husband having a similar condition.
Past Medical History (PMH):
• Hypertension (diagnosed 10 years ago)
Application: Complex Differential Diagnosis and Management
Disclaimer: This is an original, educational case simulation designed for advanced nursing
clinical practice (APRN/DNP level). It is not affiliated with, nor does it represent, any proprietary
i-Human or KSI case. All clinical data, dialogues, and rationales are synthesized for educational
purposes.
PHASE 1: PATIENT PRESENTATION & DATA COLLECTION
Patient Demographics:
• Name: Katherine Moore
• Age: 66 years
• Sex: Female
• Race/Ethnicity: White, English-speaking
• Marital Status: Widowed
• Height/Weight: 5'4" (162.5 cm) / 145 lbs (65.8 kg)
• BMI: 24.9 (Normal weight)
Chief Complaint: "I have a painful rash on my left side that just won't go away."
History of Present Illness (HPI):
Mrs. Moore is a 66-year-old widowed female who presents to the clinic with a 5-day history of a
painful, burning rash located on the left side of her torso. She describes the pain as a "deep,
burning, electric shock" sensation that precedes the visible rash by about 2 days. She rates the
pain as 7/10 at its worst, interfering with sleep and daily activities. She initially noticed a few red
bumps, which have now clustered into fluid-filled blisters. She reports mild subjective fevers and
chills but denies nausea or vomiting. She has tried over-the-counter hydrocortisone cream and
oral diphenhydramine with minimal relief. She denies any recent trauma, insect bites, or new
soaps/detergents. She is concerned because she has never had this before and fears it might be
"shingles," as she remembers her late husband having a similar condition.
Past Medical History (PMH):
• Hypertension (diagnosed 10 years ago)
