I HUMAN CASE WEEK 60 YEARS OLD REASON painful rush
,
, History of Present Illness (HPI)
• Patient: 60-year-old [male/female]
• Chief Complaint: Painful rash for 1 week
• Onset: Rash began approximately 7 days ago
• Course/Duration: Initially burning/tingling pain, followed by
rash; persistent since onset
• Location: [Specify: unilateral chest, back, abdomen, face, etc.]
• Character: Pain is described as sharp/burning; rash consists of
grouped vesicles on erythematous base (if shingles suspected)
• Associated Symptoms: Tingling, hypersensitivity, possible low-
grade fever, malaise
• Aggravating/Relieving Factors: Pain worsens with touch,
clothing contact; no clear relieving factors
• Previous Episodes: No similar prior rash
• Relevant Exposures: No new medications, soaps, or foods (if
considering drug/dermatitis)
• Treatment Tried: [OTC creams, analgesics, etc.] with minimal
relief
• Functional Impact: Pain interfering with sleep and daily
activities
Review of Systems (ROS)
General: ± fever, chills, malaise, fatigue
Skin: Painful rash, burning/tingling sensation, no generalized itching
Eyes: Any eye redness, pain, vision changes (important if rash near
the face/eye)
ENT: No oral ulcers, sore throat
Respiratory: No cough, dyspnea
Cardiovascular: No chest pain, palpitations
GI: No nausea, vomiting, diarrhea, abdominal pain
GU: No urinary or genital symptoms
,
, History of Present Illness (HPI)
• Patient: 60-year-old [male/female]
• Chief Complaint: Painful rash for 1 week
• Onset: Rash began approximately 7 days ago
• Course/Duration: Initially burning/tingling pain, followed by
rash; persistent since onset
• Location: [Specify: unilateral chest, back, abdomen, face, etc.]
• Character: Pain is described as sharp/burning; rash consists of
grouped vesicles on erythematous base (if shingles suspected)
• Associated Symptoms: Tingling, hypersensitivity, possible low-
grade fever, malaise
• Aggravating/Relieving Factors: Pain worsens with touch,
clothing contact; no clear relieving factors
• Previous Episodes: No similar prior rash
• Relevant Exposures: No new medications, soaps, or foods (if
considering drug/dermatitis)
• Treatment Tried: [OTC creams, analgesics, etc.] with minimal
relief
• Functional Impact: Pain interfering with sleep and daily
activities
Review of Systems (ROS)
General: ± fever, chills, malaise, fatigue
Skin: Painful rash, burning/tingling sensation, no generalized itching
Eyes: Any eye redness, pain, vision changes (important if rash near
the face/eye)
ENT: No oral ulcers, sore throat
Respiratory: No cough, dyspnea
Cardiovascular: No chest pain, palpitations
GI: No nausea, vomiting, diarrhea, abdominal pain
GU: No urinary or genital symptoms
