,
,Patient Information
Name: Krista Hampton
Age: 25 years old
Gender: Female
Chief Complaint: New rash
Informant: Patient (Krista Hampton)
Case Overview
Krista Hampton, a 25-year-old female, presents to the primary care
clinic with a new, pruritic rash on her arms and legs that began one
week ago following a hiking trip. The i-Human simulation for NRNP
6512 (Week 4) is designed to develop advanced health assessment
skills, requiring learners to conduct a detailed history, perform a
focused dermatologic physical exam, formulate a differential diagnosis
for the rash, order appropriate diagnostic tests, and develop an
evidence-based, patient-centered management plan. The case
emphasizes clinical reasoning, precise rash characterization, patient
communication, and integration of 2025 healthcare technologies, such
as AI-driven skin analysis and telehealth, to optimize care. The goal is to
, distinguish benign dermatologic conditions from potentially serious
causes while addressing patient concerns.
Step 1: History of Present Illness (HPI)
Chief Complaint: “I’ve had this itchy rash on my arms and legs for about
a week, and it’s driving me crazy.”History-Taking: The learner uses the i-
Human interface to gather a comprehensive history from Krista,
employing the OLDCARTS framework (Onset, Location, Duration,
Characteristics, Aggravating/Alleviating factors, Related symptoms,
Treatment, Severity) to systematically explore the rash and associated
symptoms. Open-ended questions (e.g., “Can you tell me more about
when the rash started?”) are combined with targeted questions (e.g.,
“Have you been exposed to new plants or chemicals?”) to elicit details.
The learner ensures a supportive environment to address Krista’s
concerns about itching and cosmetic appearance.
Onset: Rash appeared 7 days ago, noticed the morning after a
weekend hiking trip in a local forest.
Location: Symmetrical distribution on bilateral forearms (extensor
surfaces), thighs, and shins; no involvement of face, trunk, palms,
soles, or mucous membranes.
,Patient Information
Name: Krista Hampton
Age: 25 years old
Gender: Female
Chief Complaint: New rash
Informant: Patient (Krista Hampton)
Case Overview
Krista Hampton, a 25-year-old female, presents to the primary care
clinic with a new, pruritic rash on her arms and legs that began one
week ago following a hiking trip. The i-Human simulation for NRNP
6512 (Week 4) is designed to develop advanced health assessment
skills, requiring learners to conduct a detailed history, perform a
focused dermatologic physical exam, formulate a differential diagnosis
for the rash, order appropriate diagnostic tests, and develop an
evidence-based, patient-centered management plan. The case
emphasizes clinical reasoning, precise rash characterization, patient
communication, and integration of 2025 healthcare technologies, such
as AI-driven skin analysis and telehealth, to optimize care. The goal is to
, distinguish benign dermatologic conditions from potentially serious
causes while addressing patient concerns.
Step 1: History of Present Illness (HPI)
Chief Complaint: “I’ve had this itchy rash on my arms and legs for about
a week, and it’s driving me crazy.”History-Taking: The learner uses the i-
Human interface to gather a comprehensive history from Krista,
employing the OLDCARTS framework (Onset, Location, Duration,
Characteristics, Aggravating/Alleviating factors, Related symptoms,
Treatment, Severity) to systematically explore the rash and associated
symptoms. Open-ended questions (e.g., “Can you tell me more about
when the rash started?”) are combined with targeted questions (e.g.,
“Have you been exposed to new plants or chemicals?”) to elicit details.
The learner ensures a supportive environment to address Krista’s
concerns about itching and cosmetic appearance.
Onset: Rash appeared 7 days ago, noticed the morning after a
weekend hiking trip in a local forest.
Location: Symmetrical distribution on bilateral forearms (extensor
surfaces), thighs, and shins; no involvement of face, trunk, palms,
soles, or mucous membranes.
