BEST REVIEWS FOR I HUMAN CASE
WEEK 2 FOR A 60 YEARS OLD, THE
REASON FOR ENCOUNTER: PAINFUL
RASH LOCATION URGENT: CARE
CLINIC WITH LABORATORY
CAPABALITIES 2025/2026
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CaseOverview:
• Patient:60-year-old
• ReasonforEncounter:PainfulrashPossible
Scenarios to Consider:
1. HerpesZoster(Shingles):
o History:Pasthistoryofchickenpox,reactivationofvaricella-zostervirus.
o Symptoms: Unilateralrash ina dermatomaldistribution,burningortingling sensation,
development of vesicles thatcan crust over.
o Diagnosis:Clinicalevaluation,Tzancksmear,orPCR.
o Treatment:Antiviraltherapy(e.g.,acyclovir),painMANEGMENT,
corticosteroids for inflammation
2. SocialHistory:
• Occupation:Anyoccupationalexposuretoirritants,chemicals,or
infectious agents?
• Lifestyle:Smoking,alcoholuse,orrecreationaldruguse?
• LivingConditions:Exposuretocommunallivingsettings,pets,ortravelhistory?
3. ReviewofSystems(ROS):
• General:Fatigue,weightloss,orfever?
• Skin:Itching,dryness,otherrashes?
• Musculoskeletal:Jointpain,stiffness,orswelling?
• Neurological:Numbness,tingling,orweakness?
• SystemicSymptoms:Anygastrointestinalorrespiratorysymptoms?
4. PhysicalExamination:
WEEK 2 FOR A 60 YEARS OLD, THE
REASON FOR ENCOUNTER: PAINFUL
RASH LOCATION URGENT: CARE
CLINIC WITH LABORATORY
CAPABALITIES 2025/2026
,1|Page
,2|Page
, 3|Page
CaseOverview:
• Patient:60-year-old
• ReasonforEncounter:PainfulrashPossible
Scenarios to Consider:
1. HerpesZoster(Shingles):
o History:Pasthistoryofchickenpox,reactivationofvaricella-zostervirus.
o Symptoms: Unilateralrash ina dermatomaldistribution,burningortingling sensation,
development of vesicles thatcan crust over.
o Diagnosis:Clinicalevaluation,Tzancksmear,orPCR.
o Treatment:Antiviraltherapy(e.g.,acyclovir),painMANEGMENT,
corticosteroids for inflammation
2. SocialHistory:
• Occupation:Anyoccupationalexposuretoirritants,chemicals,or
infectious agents?
• Lifestyle:Smoking,alcoholuse,orrecreationaldruguse?
• LivingConditions:Exposuretocommunallivingsettings,pets,ortravelhistory?
3. ReviewofSystems(ROS):
• General:Fatigue,weightloss,orfever?
• Skin:Itching,dryness,otherrashes?
• Musculoskeletal:Jointpain,stiffness,orswelling?
• Neurological:Numbness,tingling,orweakness?
• SystemicSymptoms:Anygastrointestinalorrespiratorysymptoms?
4. PhysicalExamination:
