36-Year-Old Female With Acute Itchy Rash Outpatient Clinic Case

36-YEAR-OLD FEMALE WITH ACUTE ITCHY RASH - OUTPATIENT CLINIC CASECase Introduction - Week 2 i-Human 36-Year-Old Female With Itchy Rash - Outpatient Clinic Patient: Sarah Hohnson, 36-year-old female Encounter Setting: Outpatient clinic - dermatology/primary care Chief Complaint: "I have an itchy rash on my arms and neck that started 4 days ago." History of Present Illness: Sarah Hohnson reports the sudden onset of an intensely itchy, red rash on her forearms and lateral neck. The rash began after using a new scented lotion and has progressively worsened. She experiences mild burning when scratching but denies pain, fever, or systemic symptoms. No previous history of eczema, psoriasis, or similar skin conditions. She tried over-the-counter aloe gel with minimal relief. No recent illness, travel, or exposure to sick contacts. Review of Systems (ROS): Skin: Positive for pruritic, erythematous rash HEENT: Negative for swelling or pain Respiratory/Cardiovascular/GI/Neuro: Negative General: No fever, chills, or malaise Past Medical History: :ealthy, no chronic illness Past Surgical History: None Medications: None Allergies: NKDAFamily History: Negative for dermatologic conditions Social History: Non-smoker, no alcohol abuse Physical Exam (summary): Skin: Erythematous, well-demarcated patches on bilateral forearms and lateral neck, with mild edema and excoriations; no vesicles or crusting HEENT,