Anita King iHuman Case: Key Findings
- Bilateral Inner Thighs: Raised, 10 x 12 cm rash with redness, bumps, and blisters.
- Left Ventral Forearm: 6 cm linear rash with red bumps and yellow-red blisters.
- Itching to Tenderness: Rash starts itchy and progresses to being tender.
- New Exposures:
- Wild Brush Plants
- Hot Tub
- Oily Suntan Lotion
- Scallops
Case: Key Findings Feedback
- Bilateral Inner Thighs: Original rash location crucial for determining its cause (Most Significant Active Problem – MSAP).
- Left Ventral Forearm: Secondary rash related to MSAP due to its similar appearance.
- Itching Progressing to Tenderness: The itchy nature and progression guide the differential diagnosis (MSAP-related).
- New Exposures:
- Wild Brush Plants: Historical clue, uncertain correlation with MSAP.
- Hot Tub: Possible origin due to bacteria and chemicals, uncertain correlation.
- Oily Suntan Lotion: Chemical exposure, uncertain correlation with MSAP.
- Scallops: New food exposure, uncertain correlation with MSAP.
Anita King iHuman Case: Problem Statement
A 25-year-old healthy female reports intensely itchy rash on inner thighs and left forearm. Recent exposures: hiking, hot tub use, new lotion, and scallops ingestion. Physical exam shows 6 cm linear rash on left forearm and 10 x 12 cm scattered rash on inner thighs. Vitals and overall exam are unremarkable.
Anita King iHuman Case: Management Plan
Pharmacologic Care:
- Clobetasol propionate 0.05% cream twice daily until clear.
- Over-the-counter cetirizine 10 mg as needed for itching.
Supportive Care:
- Oatmeal baths.
- Cool, wet compresses.
- Topical calamine lotion or aluminum acetate.
Patient Education:
- Explained contact dermatitis, its causes, treatment, and prognosis.
- Advised avoiding specific plants and washing items in hot water.
Follow-Up:
- Clinic follow-up if no improvement in 48-72 hours.
- Discussed warning signs for immediate clinic or ER visit.
Anita King iHuman – Ensuring patient understanding, comfort, and recovery.
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