MALE PRESENTING WITH ACUTE PAINFUL
DERMATITIC RASH AND NEUROPATHIC
Patient Introduction & Demographics
,• Name: [Redacted / John Doe]
• Age: 60 years
• Sex: Male
• Ethnicity: [Specify if relevant, e.g., Caucasian, African American, etc.]
• Occupation: [Specify, e.g., retired accountant]
• Presenting Complaint: "I have a painful rash on my right side and numbness around it."
• History of Present Illness (HPI) Summary: Acute onset of a unilateral, painful, blistering rash
accompanied by burning and tingling sensations consistent with neuropathic pain. Rash
appeared [specify timeframe, e.g., 2 days ago], localized along the right thoracic dermatome.
Pain described as sharp, burning, and intermittent, exacerbated by touch. Denies fever or
systemic symptoms.
• Past Medical History (PMH):
o Hypertension, well controlled
o Type 2 Diabetes Mellitus (diagnosed 8 years ago)
o History of varicella infection as a child
o No prior shingles or herpes zoster episodes
• Medications:
o Metformin 1000 mg twice daily
o Lisinopril 10 mg daily
o Occasional acetaminophen for mild aches
• Allergies: No known drug allergies (NKDA)
• Family History:
o Father: Myocardial infarction at 70
o Mother: Type 2 Diabetes
o No family history of neuropathic disorders or dermatologic conditions
• Social History:
o Retired; lives with spouse
o Non-smoker
o Rare alcohol use
o Independent in activities of daily living
, o No recent travel
• Review of Systems (ROS) – brief overview:
o General: No fever, chills, or weight loss
o Skin: Painful rash with blisters; pruritus mild
o Neurologic: Tingling, burning, and hypersensitivity in affected dermatome
o Cardiovascular, Respiratory, GI, GU: Denies symptoms
o Musculoskeletal: Denies new joint pain
o Endocrine: Denies polyuria or polydipsia beyond baseline diabetes
Absolutely! Here’s a comprehensive, polished full patient introduction for your i-Human Week 2 case
(60-year-old male with acute painful dermatitic rash and neuropathic symptoms):
Patient Introduction and Demographics
• Patient Name: John Doe
• Age: 60 years
• Sex: Male
• Ethnicity/Race: Caucasian
• Occupation: Retired accountant
• Marital Status: Married, lives with spouse
• Presenting Complaint: “I have a very painful rash on my right side and it feels like it’s burning.”
History of Present Illness (HPI) – Brief Intro
Mr. Doe is a 60-year-old male who presents with a 2-day history of a sudden, painful rash on the right
side of his torso. He describes the pain as sharp, burning, and tingling, and notes increased sensitivity
to touch in the affected area. The rash initially appeared as red patches, which have progressed to
clusters of small blisters. He denies fever, chills, malaise, or other systemic symptoms. He reports no
prior episodes of similar rashes. He describes pain rated 8/10 in severity, worse at night, and slightly
relieved with over-the-counter acetaminophen.
Past Medical History (PMH)
• Hypertension – well controlled with medication