Week 4 Case Study
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Chief Complaint: Rash
History of Present Illness
A 24 y.o. male presents for a pre-employment physical and mentions a rash on his chest. He noticed the rash last night and says it is “very itchy.” He has not noticed any other skin changes. Overall, he feels well without any accompanying symptoms. He is a teacher and spent most of last weekend doing yard work.
Past Medical History
Allergic rhinitis
Denies surgeries or serious illnesses/hospitalizations
Current Meds
Allegra OTC
Family History
Father, hypertension
Mother, asthma, atopic dermatitis
Brother, atopic dermatitis
Sister, diabetes
Review of Systems
All ten systems were reviewed and found negative except for what was noted in the HPI
Physical Examination
Vital signs; T 98.2, BP 126/78, RR 20, HT 80.
General: Well developed and well appearing.
Skin: Lesion on upper right anterior chest, midline below clavicle. Measures approximately 3 cm by 2.5 cm, has mildly erythematous maculopapular margin, and is clearer centrally, with fine scaling.
Case Study Discussion - Part I:
Answer the following and post your response in the Case Study Part I by creating your own initial thread.
Identify three conditions that you would consider in your differential diagnosis, with the most likely condition listed first. Provide rationale for each differential with supporting evidence from the case study.
What further history, further examination, and diagnostic studies should be considered in order to explore your differential diagnosis and confirm your suspicions?
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Week 4 Case Study 66 unread replies.66 replies. Chief Complaint: Rash History of Present Illness A...
Chief Complaint: Rash History of Present Illness A 24 y.o. male presents for a pre-employment physical and mentions a rash on his chest. He noticed the rash last night and says it is “very itchy.” He has not noticed any other skin changes. Overall, he feels well without any accompanying symptoms. He is a teacher and spent most of last weekend doing yard work. Past Medical History Allergic rhinitis Denies surgeries or serious illnesses/hospitalizations Current Meds Allegra OTC Family History...
Chief Complaint A 24 y.o. male presents for a pre-employment physical and mentions a rash on his chest. He noticed the rash last night and says it is “very itchy.” He has not noticed any other skin changes. Overall, he feels well without any accompanying symptoms. He is a teacher and spent most of last weekend doing yard work. Past Medical History • Allergic rhinitis, uses over-the-counter antihistamines • Denies surgeries or serious illnesses/hospitalizations Family History • Father, hypertension •...
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