Week 2 i-Human Case Study | 36-Year-Old
Female With Itchy Rash | Outpatient Clinic |
Complete Assessment, Diagnosis &
Management | 2025 Update
, 1) Cover summary
Patient: Female, 36 years old
Chief complaint (CC): “I have an itchy rash” — started 5 days ago, worsening.
Setting: Outpatient primary care / urgent care clinic (Week 2 i-Human case)
Goal: Demonstrate full clinical reasoning from triage → diagnosis → treatment;
teach why each step is done.
Why this matters: Skin complaints are common in outpatient clinics.
Distinguishing allergic, infectious, inflammatory, and systemic causes is essential
because management (topical steroid, antimicrobial, referral) differs markedly.
2) Triage & initial assessment (what to do and why)
Triage note: Patient ambulatory, comfortable at rest, no respiratory distress,
denies fever.
Vitals: T 37.0°C, HR 78, BP 118/76, RR 14, SpO₂ 99% RA.
Immediate priorities & explanation:
• Rapid assessment to rule out systemic involvement (fever, hypotension,
respiratory compromise) that would escalate acuity.
• Confirm history timeline and whether rash is spreading rapidly or associated
with breathing/swelling (possible anaphylaxis) — none present, so
outpatient evaluation appropriate.
3) Focused History of Present Illness (HPI) — what to ask and why
Collect succinct but targeted HPI; each element guides DDx and workup.
• Onset: Rash appeared 5 days ago, began on forearms then spread to trunk
and thighs.
Female With Itchy Rash | Outpatient Clinic |
Complete Assessment, Diagnosis &
Management | 2025 Update
, 1) Cover summary
Patient: Female, 36 years old
Chief complaint (CC): “I have an itchy rash” — started 5 days ago, worsening.
Setting: Outpatient primary care / urgent care clinic (Week 2 i-Human case)
Goal: Demonstrate full clinical reasoning from triage → diagnosis → treatment;
teach why each step is done.
Why this matters: Skin complaints are common in outpatient clinics.
Distinguishing allergic, infectious, inflammatory, and systemic causes is essential
because management (topical steroid, antimicrobial, referral) differs markedly.
2) Triage & initial assessment (what to do and why)
Triage note: Patient ambulatory, comfortable at rest, no respiratory distress,
denies fever.
Vitals: T 37.0°C, HR 78, BP 118/76, RR 14, SpO₂ 99% RA.
Immediate priorities & explanation:
• Rapid assessment to rule out systemic involvement (fever, hypotension,
respiratory compromise) that would escalate acuity.
• Confirm history timeline and whether rash is spreading rapidly or associated
with breathing/swelling (possible anaphylaxis) — none present, so
outpatient evaluation appropriate.
3) Focused History of Present Illness (HPI) — what to ask and why
Collect succinct but targeted HPI; each element guides DDx and workup.
• Onset: Rash appeared 5 days ago, began on forearms then spread to trunk
and thighs.
