NRNP 6541 Week 2 iHuman Assignment - Rosa Perez
- $20.00
Rosa Perez
1 year old female 2’7” 22 lbs. (10 kg)
Reason for encounter: Well Visit age 12 months with new onset of dry, itchy skin patches. Observations: Patient is laying on exam table in diapers.
Skin is warm and dry.
Questions:
• How can I help her today?
• We are here for a 12 month well visit today.
• What has been happening since her last visit?
• I think I already told you.
• Does she have any other symptoms that you would like to discuss?
• Yes. I am concerned about these dry red patches on her skin.
• When did her rash start?
• 3 weeks ago
• What are the events surrounding the start of her rash?
• I don’t know. I just started noticing it about 3 weeks ago. Just a few little lesions. More recently it has gotten worse. Since she seemed fine, I waited for this visit I
already had scheduled. Was that the right thing to do?
• On what part of her body did the rash start and where did it spread?
• These lesions started behind her knees, and she has had a few in the creases of her elbows.
• Does her rash come and go?
• I’m not sure. First I thought I saw something, but then it went away, but now it came back and is worse. So I guess the answer is really yes.
• Is her rash painful or itchy?
• Itchy
• Does she have any other symptoms associated with her rash?
• Not that I have noticed.
• Does anyone in her family have a similar rash?
• No
• What treatments has she had for the rash?
• I put some lotion on it, but it didn’t seem to help.
• Does anything make her rash better or worse? ……….. Continue
