,Patient Information
Age: 12 months
Gender: Female
Height: 2’7” (80 cm, 50th percentile for age)
Weight: 22.0 lb (10 kg, 50th percentile for age)
Reason for Encounter: Routine 12-month well-child visit with a
new parental concern of dry, itchy skin patches noted for two
weeks.
History of Present Illness
A 1-year-old female presents to the pediatric outpatient clinic for a
scheduled 12-month well-child visit. During the visit, the mother
reports a new concern: the child has developed dry, itchy skin patches
over the past two weeks. The patches are described as red, scaly, and
occasionally weepy, primarily located on the bilateral cheeks,
antecubital fossae (inner elbows), and popliteal fossae (behind the
knees). The mother notes that the child scratches the affected areas
frequently, particularly at night, leading to disrupted sleep and
irritability. The patches have not responded to over-the-counter
moisturizers applied by the mother. The mother denies recent changes
in the child’s diet, soaps, detergents, clothing, or environmental
, exposures (e.g., new bedding, pets, or travel). There is no reported
fever, weight loss, or systemic symptoms. The child attends daycare
three days a week, and no similar symptoms have been reported
among other children or family members. The mother is concerned
about the persistent itching and potential for scarring due to
scratching.Medical History
Past Medical History: Unremarkable. Born full-term via
spontaneous vaginal delivery with no complications. No history of
hospitalizations, surgeries, or chronic illnesses.
Allergies: No known food, medication, or environmental allergies.
Medications: None currently. The mother reports occasional use
of acetaminophen for teething discomfort.
Immunizations: Up to date, including hepatitis B, DTaP, Hib,
PCV13, IPV, and influenza (seasonal). Due for MMR and varicella
vaccines at this visit per CDC schedule.
Family History:
Mother: History of seasonal allergic rhinitis, managed with
over-the-counter antihistamines.
Father: No chronic conditions.
Age: 12 months
Gender: Female
Height: 2’7” (80 cm, 50th percentile for age)
Weight: 22.0 lb (10 kg, 50th percentile for age)
Reason for Encounter: Routine 12-month well-child visit with a
new parental concern of dry, itchy skin patches noted for two
weeks.
History of Present Illness
A 1-year-old female presents to the pediatric outpatient clinic for a
scheduled 12-month well-child visit. During the visit, the mother
reports a new concern: the child has developed dry, itchy skin patches
over the past two weeks. The patches are described as red, scaly, and
occasionally weepy, primarily located on the bilateral cheeks,
antecubital fossae (inner elbows), and popliteal fossae (behind the
knees). The mother notes that the child scratches the affected areas
frequently, particularly at night, leading to disrupted sleep and
irritability. The patches have not responded to over-the-counter
moisturizers applied by the mother. The mother denies recent changes
in the child’s diet, soaps, detergents, clothing, or environmental
, exposures (e.g., new bedding, pets, or travel). There is no reported
fever, weight loss, or systemic symptoms. The child attends daycare
three days a week, and no similar symptoms have been reported
among other children or family members. The mother is concerned
about the persistent itching and potential for scarring due to
scratching.Medical History
Past Medical History: Unremarkable. Born full-term via
spontaneous vaginal delivery with no complications. No history of
hospitalizations, surgeries, or chronic illnesses.
Allergies: No known food, medication, or environmental allergies.
Medications: None currently. The mother reports occasional use
of acetaminophen for teething discomfort.
Immunizations: Up to date, including hepatitis B, DTaP, Hib,
PCV13, IPV, and influenza (seasonal). Due for MMR and varicella
vaccines at this visit per CDC schedule.
Family History:
Mother: History of seasonal allergic rhinitis, managed with
over-the-counter antihistamines.
Father: No chronic conditions.
