IHUMAN CASE STUDY FOR A 13 YEARS OLD FEMALE REASON FOR ENCOUNTER ITCHY SKIN

WEEK 4 CLASS 6512 COMPREHENSIVE DETAILED IHUMAN
CASE STUDY FOR A 13 YEARS OLD FEMALE REASON
FOR ENCOUNTER PRURITUS (ITHCY SKIN) WITH
PHYSICAL EXAM, ASSESSM ENT, KEY FINDINGS,
DIAGNOSTIC TEST, MANAGEMENT PLAN AND FINAL
DIAGNOSIS




H&Ph+ihDxhsubmissions




i- HumanCaseFile h h


CasehWeekih#4

Patient:h13-year-oldhfemalei
h Height:h5'2"h(157hcm)I

h Weight:h104ihlbih(47.3hkg)

Setting:hOutpatienthclinichwithhlaboratoryhcapabilities
ChiefhComplaint:h“Myhskinhisihveryhitchy.”

, 1. HistoryofPresentIllness(HPI)
h h h h


Ah13-year-oldhfemaleihpresentshwithihgeneralizedhitchinghandhrashhthatihbeganhapproximatelyh1–
h

2hweekshago.hTheihitchingihstartedhgraduallyhandhhasihprogressivelyhworsened.hTheihpatienthreportshth
aththeihitchingihishmostihsevereihatihnight,hwhichhhashbegunhtohdisturbhherhsleep.

Shehdescribesihthehrashihashsmallhredhbumpshlocatedihprimarilyhonihtheharms,hwrists,ihabdomen,ihandhbe
tweenihtheihfingers.hScratchinghprovideshtemporaryhreliefhbuthoftenihworsenshskinhirritation.hSheih denie
shpain,hbleeding,ihorhdrainagehfromhtheihlesions.

Thehpatienthdeniesihfever,hfatigue,horhsystemicihillness.hSheihreportsihnohrecenthchangeshinhsoaps,
detergents,hlotions,horhclothinghmaterials.hTherehishnohhistoryhofhrecenthtravelhorhoutdoorhexposureshsu
chhashplantshorhinsects.

Thehpatienthreportshthathaihclassmateihrecentlyhcomplainedhofhitching,hraisinghconcernihforhpossiblehcon
tagioushexposure.




2. ReviewofSystems(ROS)
h h h



General
Deniesihfever,hchills,hfatigue,horhweighthloss.

Skin
Reportsihitchingihandihrashhwithhrednesshandhirritation.hNohswellinghorhopenihsores.

HEENT
Deniesihheadache,hvisionhchanges,hsorehthroat,horhearhpain.

Respiratory
Deniesihcough,hshortnesshofhbreath,horhwheezing.

Cardiovascular
Deniesihchesthpainhorhpalpitations.

Gastrointestinal
Deniesihnausea,hvomiting,hdiarrhea,horhabdominalhpain.