PowerPoint Presentation : i-Human Graduate Sick
Visit Case Study Week #4 (2026): 13-Year-Old
Female With Pruritic Skin Complaint
Slide 1: Title Slide
i-Human Case Study Week #4
13-Year-Old Female Presenting with Pruritic Skin Complaint
Comprehensive Clinical Reasoning and Management
[Student Name]
[Course Number]
[Date]
Speaker Notes:
Good morning. Today I'll be presenting a case study of a 13-year-old female who
presented to the outpatient clinic with a chief complaint of itchy skin. This case will walk
through the systematic approach to evaluation, differential diagnosis, and management
of pruritic conditions in the adolescent population.
Slide 2: Patient Demographics and Chief Complaint
Patient Demographics
• Name: Emma Rodriguez
, • Age: 13 years old
• Gender: Female
• Race/Ethnicity: Hispanic
Chief Complaint
"My skin has been so itchy for the past few weeks, and it's keeping me awake at night."
Speaker Notes:
Emma is a 13-year-old Hispanic female who presents with her mother to the outpatient
clinic. Her chief complaint is generalized itching that has been ongoing for several
weeks and is significantly impacting her sleep. As we'll see, sleep disruption is a key
indicator of severity in pruritic conditions.
Slide 3: History of Present Illness (HPI) – Onset and Location
HPI: Onset and Progression
• Duration: 3-4 weeks
• Onset: Gradual
• Initial Location: Bilateral antecubital fossae (insides of elbows)
• Spread: Progressed to involve:
o Bilateral popliteal fossae (behind knees)
o Posterior neck
o Volar wrists
o Occasionally trunk
Speaker Notes:
The itching began approximately one month ago in the antecubital fossae and gradually
spread to other flexural areas. This pattern of flexural involvement is clinically significant
Visit Case Study Week #4 (2026): 13-Year-Old
Female With Pruritic Skin Complaint
Slide 1: Title Slide
i-Human Case Study Week #4
13-Year-Old Female Presenting with Pruritic Skin Complaint
Comprehensive Clinical Reasoning and Management
[Student Name]
[Course Number]
[Date]
Speaker Notes:
Good morning. Today I'll be presenting a case study of a 13-year-old female who
presented to the outpatient clinic with a chief complaint of itchy skin. This case will walk
through the systematic approach to evaluation, differential diagnosis, and management
of pruritic conditions in the adolescent population.
Slide 2: Patient Demographics and Chief Complaint
Patient Demographics
• Name: Emma Rodriguez
, • Age: 13 years old
• Gender: Female
• Race/Ethnicity: Hispanic
Chief Complaint
"My skin has been so itchy for the past few weeks, and it's keeping me awake at night."
Speaker Notes:
Emma is a 13-year-old Hispanic female who presents with her mother to the outpatient
clinic. Her chief complaint is generalized itching that has been ongoing for several
weeks and is significantly impacting her sleep. As we'll see, sleep disruption is a key
indicator of severity in pruritic conditions.
Slide 3: History of Present Illness (HPI) – Onset and Location
HPI: Onset and Progression
• Duration: 3-4 weeks
• Onset: Gradual
• Initial Location: Bilateral antecubital fossae (insides of elbows)
• Spread: Progressed to involve:
o Bilateral popliteal fossae (behind knees)
o Posterior neck
o Volar wrists
o Occasionally trunk
Speaker Notes:
The itching began approximately one month ago in the antecubital fossae and gradually
spread to other flexural areas. This pattern of flexural involvement is clinically significant
