Case 2 |
|
Chief Complaint |
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; |
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. |
1.
What other subjective data would you obtain?
2.
What other objective findings would you look for?
3.
What diagnostic exams do you want to order?
4.
Name 3 differential diagnoses based on this patient presenting symptoms?
5.
Give rationales for your each differential diagnosis.