, Patient Information
Age: 25 years old
Gender: Male
Reason for Encounter: Skin problem
Setting: Primary care clinic
Class: 6512, Week #4
History of Present Illness (HPI)
A 25-year-old male presents to the primary care clinic complaining of a
skin problem characterized by a rash on his arms and legs for the past 3
weeks. He describes the rash as red, itchy, and scaly, with small, raised
bumps (papules) that have spread from his forearms to his shins and
thighs. The patient reports moderate pruritus (itching), rated 5/10,
which worsens at night and after hot showers. He denies pain, oozing,
bleeding, or crusting of the lesions. The rash is bilateral and symmetric,
primarily affecting the extensor surfaces of the arms and legs. He has
tried over-the-counter (OTC) hydrocortisone 1% cream with minimal