, Patient Information
Name: [Redacted for Privacy]
Age: 2 years
Gender: Female
Setting: Outpatient Pediatric Clinic with Laboratory Capabilities
Chief Complaint: Rash
Date of Visit: Week #4, 2024
History of Present Illness (HPI)
A 2-year-old female presents to the pediatric outpatient clinic
accompanied by her mother, who reports the child developed a rash 3
days ago. The rash began as red, pruritic macules on the trunk and has
since spread to the face, arms, and legs, with some areas progressing to
small, fluid-filled vesicles and crusting lesions. The mother notes the
child has been increasingly irritable and frequently scratching the rash,
which worsens the itching. Two days prior to the rash onset, the child
had a low-grade fever (100.4°F, measured orally at home) that resolved
within 24 hours without medication. The mother denies recent changes
in diet, soaps, detergents, or clothing, and the child has not been
exposed to new medications or environments. The child attends
daycare 5 days a week, and the mother reports that another child in the
Name: [Redacted for Privacy]
Age: 2 years
Gender: Female
Setting: Outpatient Pediatric Clinic with Laboratory Capabilities
Chief Complaint: Rash
Date of Visit: Week #4, 2024
History of Present Illness (HPI)
A 2-year-old female presents to the pediatric outpatient clinic
accompanied by her mother, who reports the child developed a rash 3
days ago. The rash began as red, pruritic macules on the trunk and has
since spread to the face, arms, and legs, with some areas progressing to
small, fluid-filled vesicles and crusting lesions. The mother notes the
child has been increasingly irritable and frequently scratching the rash,
which worsens the itching. Two days prior to the rash onset, the child
had a low-grade fever (100.4°F, measured orally at home) that resolved
within 24 hours without medication. The mother denies recent changes
in diet, soaps, detergents, or clothing, and the child has not been
exposed to new medications or environments. The child attends
daycare 5 days a week, and the mother reports that another child in the
