Complaint of an Itchy Red rash
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.
Objective Data:
(T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74
healthy-appearing female in no acute distress
EYES: no injection, no increase in lacrimation or purulent drainage;
EARS: normal
TM: Normal
CTA AP&L
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
Questions:
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name 3 differential diagnoses based on this patient presenting symptoms?
- Give rationales for your each differential diagnosis.
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