| Case 2 | |
| Chief Complaint (CC) |
A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks. |
| Subjective | She has been going on a daily basis to the local YMCA with children for Summer camp. |
| VS | (T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74 |
| General | healthy-appearing female in no acute distress |
| HEENT | EYES: no injection, no increase in lacrimation or purulent drainage; EARS: normal TM: Normal |
| Skin | Mild edema with inflammation located on forearms, upper arms, and chest wall, thighs and knees; primary lesions are a macular papular rash with secondary linear excoriations on forearms and legs. |
| Neck/Throat | No neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline. |
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name 3 differential diagnoses based on this patient presenting symptoms?
- Give rationales for your each differential diagnosis.
| Case 2 | |
| Chief Complaint (CC) |
A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks. |
| Subjective | She has been going on a daily basis to the local YMCA with children for Summer camp. |
| VS | (T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74 |
| General | healthy-appearing female in no acute distress |
| HEENT | EYES: no injection, no increase in lacrimation or purulent drainage; EARS: normal TM: Normal |
| Skin | Mild edema with inflammation located on forearms, upper arms, and chest wall, thighs and knees; primary lesions are a macular papular rash with secondary linear excoriations on forearms and legs. |
| Neck/Throat | No neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline. |
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name 3 differential diagnoses based on this patient presenting symptoms?
- Give rationales for your each differential diagnosis.