IHUMAN CASE STUDY SARAH MITCHELL:
-YEAR
- OLD25FEMALE WITH NEW
– WALDEN
RASH
UNIVERSITY MSN
-FNP WEEK 2 LATEST EDITION 2025/2026 BY LAUREN PALUCH WITH A
CORRECT ANSWERS VERIFIED 100% PASS!!!
,Sarah Mitchell is a healthy 25-year-old woman who presents with complaints of a rash that
developed approximately 2–3 days prior to evaluation. The rash began in the axillary or upper
body region and gradually spread. She describes the rash as:
• Red
• Itchy
• Slightly raised
• Mildly burning with sweat or friction
She denies severe pain, fever, chills, drainage, facial swelling, or respiratory distress. The case
often includes contributing factors such as:
• New deodorant or lotion use
• Sweating after exercise
• Skin friction
• Moisture exposure
• Possible allergen exposure
• Hiking or outdoor activity
• New sunscreen or skincare products
The case is designed to test the student’s ability to distinguish between common dermatologic
disorders such as:
• Allergic contact dermatitis
• Candidal intertrigo
• Fungal infection
• Irritant dermatitis
• Cellulitis
• Herpes zoster
• Atopic dermatitis
,Key Components of the Assessment
1. History of Present Illness (HPI)
The HPI is one of the most important grading areas in the iHuman platform. Students must
gather detailed information using the OLDCARTS format.
Important Questions to Ask
• When did the rash start?
• Where did it begin?
• Has it spread?
• Is it itchy, painful, or burning?
• Any drainage or blistering?
• Recent use of new soaps, deodorants, or detergents?
• Recent travel or hiking?
• Exposure to plants or insects?
• Fever or systemic symptoms?
• Similar rash in the past?
• Recent medication changes?
• Sexual history if indicated?
• Immunocompromised status?
Sarah commonly reports that the rash worsens with sweating and friction and may have started
after using a new scented deodorant or after prolonged sweating at the gym.
Physical Examination
The focused skin assessment is critical.
Expected Findings
Students should document:
• Erythematous rash
• Warm and moist skin folds
, • Pruritic lesions
• Mild scaling or maculopapular appearance
• Possible satellite lesions if fungal
• No purulent drainage
• No abscess formation
• No lymphadenopathy
• No systemic toxicity
The provider should also inspect:
• Axillae
• Chest
• Arms
• Neck
• Skin folds
• Mucous membranes
A complete exam includes:
• Vital signs
• General appearance
• Cardiopulmonary assessment
• Lymphatic evaluation
• Skin texture and distribution
Differential Diagnoses
1. Allergic Contact Dermatitis (Most Common Correct Diagnosis)
This is often the primary diagnosis in the case.
Supporting Findings
• Exposure to new deodorant or lotion
-YEAR
- OLD25FEMALE WITH NEW
– WALDEN
RASH
UNIVERSITY MSN
-FNP WEEK 2 LATEST EDITION 2025/2026 BY LAUREN PALUCH WITH A
CORRECT ANSWERS VERIFIED 100% PASS!!!
,Sarah Mitchell is a healthy 25-year-old woman who presents with complaints of a rash that
developed approximately 2–3 days prior to evaluation. The rash began in the axillary or upper
body region and gradually spread. She describes the rash as:
• Red
• Itchy
• Slightly raised
• Mildly burning with sweat or friction
She denies severe pain, fever, chills, drainage, facial swelling, or respiratory distress. The case
often includes contributing factors such as:
• New deodorant or lotion use
• Sweating after exercise
• Skin friction
• Moisture exposure
• Possible allergen exposure
• Hiking or outdoor activity
• New sunscreen or skincare products
The case is designed to test the student’s ability to distinguish between common dermatologic
disorders such as:
• Allergic contact dermatitis
• Candidal intertrigo
• Fungal infection
• Irritant dermatitis
• Cellulitis
• Herpes zoster
• Atopic dermatitis
,Key Components of the Assessment
1. History of Present Illness (HPI)
The HPI is one of the most important grading areas in the iHuman platform. Students must
gather detailed information using the OLDCARTS format.
Important Questions to Ask
• When did the rash start?
• Where did it begin?
• Has it spread?
• Is it itchy, painful, or burning?
• Any drainage or blistering?
• Recent use of new soaps, deodorants, or detergents?
• Recent travel or hiking?
• Exposure to plants or insects?
• Fever or systemic symptoms?
• Similar rash in the past?
• Recent medication changes?
• Sexual history if indicated?
• Immunocompromised status?
Sarah commonly reports that the rash worsens with sweating and friction and may have started
after using a new scented deodorant or after prolonged sweating at the gym.
Physical Examination
The focused skin assessment is critical.
Expected Findings
Students should document:
• Erythematous rash
• Warm and moist skin folds
, • Pruritic lesions
• Mild scaling or maculopapular appearance
• Possible satellite lesions if fungal
• No purulent drainage
• No abscess formation
• No lymphadenopathy
• No systemic toxicity
The provider should also inspect:
• Axillae
• Chest
• Arms
• Neck
• Skin folds
• Mucous membranes
A complete exam includes:
• Vital signs
• General appearance
• Cardiopulmonary assessment
• Lymphatic evaluation
• Skin texture and distribution
Differential Diagnoses
1. Allergic Contact Dermatitis (Most Common Correct Diagnosis)
This is often the primary diagnosis in the case.
Supporting Findings
• Exposure to new deodorant or lotion
