iHuman Case Study ‘‘Rash’’ 2025

NR 602 IHuman -CASE- RASH QUESTION TO ASK How can I help her today? Does she have any other symptoms you would like to discuss? What treatment has she had for the cough? Is she coughing any sputum? What treatment ...

NR 602 IHuman -CASE- RASH QUESTION TO ASK How can I help her today? Does she have any other symptoms you would like to discuss? What treatment has she had for the cough? Is she coughing any sputum? What treatment has she had for the rash? On what part of her body did the rash start and where did it spread? Is her rash painful or itchy? What treatment has she had for the rash? Has she been having fevers? When did the fever start? How high is the fever? Is she taking any over the counter medication? How is her appetite any recent change? Did she have any other problems two to four days ......... ? 4 many wet diapers does your child have per day? How many stools diaper does your child have per day? Does she have any allergies? DIAGNOSIS Exanthema subitum HHV 6/ roseola Human parvovirus 19 Rubella (German measles) Measles URI NO TEST REQUIRED History Reason for encounter: rash on abdomen, b/l UEs and b/l Les History of present illness: fever started 3 days ago, stopped last evening Cough and rhinorrhea started 3 days ago ROS General (-) fever (-) significant weight change (-) significant appetite change HEENT/neck (+) rhinorrhea (+) cough CARD (-)CP/pressure/discomfort (-) decrease in activity (-) SOB RESP (-) SOB (-) wheezing (-) difficulty catching a breath (-) chronic cough (-) sputum production GI diaper stools about 2 per day GU Diaper urine 4-5 per day MSK…. NEUR No history of seizures INTEGUMENTARY/breast (+) rash on abdomen, b/l UEs and b/l LEs Psychiatric…. Endocrine No history of diabetes, endocrine/thyroid problems Hemolytic/lymp No history of anemia Allergic/Immunologic No history of allergies, immunizations up to date PMH None Hospitalizations/surgeries: Born full term 38 wees GA. Born via NSVD. No complications during delivery or after birth Preventative health Growing and developing well. Meeting all developmental milestones. Medications none Allergies NKDA Immunizations all up to date Social Hx Lives in an apartment with both parents Family Hx Mother 32: healthy Father 35: healthy Skin/hair/nails Inspection of skin: PHYSICAL ASSESMENT Skin is warm and dry. There is a maculopapular pink rash on abdomen and extremities. Normal skin turgor HEENT/neck: Inspect eyes: Eyelids: no ptosis, erythema or swelling: Conjunctivae: pink, no discharge Sclerae: anicteric Orbital area: no edema, redness, tenderness or lesion noted. Inspect pupils: R pupil: normal reactive