NRNP 6541 Week 2 iHuman Assignment - Rosa Perez

Course : Course

Submitted : Uploaded 2023

Contributed : Andy Gutierrez

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?
- Not that I have noticed..
Does the rash keep her from sleeping?