i-Human Case Week 4 | Itchy Skin (13-Year-Old) | Complete Case Guide
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Comprehensive i-Human Case
Week 4Itchy Skin — 13-Year-Old Female
Complete Case Guide
Good Questions | Correct Physical Exam | Assessment | Key Findings
Diagnostic Tests | Differential Diagnosis | Final Diagnosis | SOAP Notes |
Management Plan
Patient Setting Case Type
13 y/o Female | 5'2" | 104 Outpatient Clinic w/ Lab H&P + Dx | Graduate
lb Capabilities Premium
i-Human Case | Atopic Dermatitis — Pediatric | Academic Use Only
, i-Human Case Week 4 | Itchy Skin (13-Year-Old) | Complete Case Guide
Table of Contents
1. Case Overview & Problem Statement 3
2. Patient Demographics & Vitals 4
3. Chief Complaint & History of Present Illness 5
4. Recommended Interview Questions & Rationale 6
5. Past Medical, Family & Social History 8
6. Review of Systems (ROS) 9
7. Physical Examination 10
8. Key Findings Summary 12
9. Clinical Assessment 13
10. Diagnostic Tests & Lab Interpretation 14
11. Differential Diagnosis 16
12. Final Diagnosis & Diagnostic Criteria 18
13. Pathophysiology 19
14. SOAP Note 20
15. Treatment & Management Plan 22
16. Patient & Caregiver Education 24
17. Follow-Up & Referral Plan 25
18. References 26
i-Human Case | Atopic Dermatitis — Pediatric | Academic Use Only
, i-Human Case Week 4 | Itchy Skin (13-Year-Old) | Complete Case Guide
Section 1: Case Overview & Problem Statement
Case Problem Statement
This patient is a 13-year-old female with a PMH of asthma and environmental allergies
who reports 2 weeks of a progressively worsening itchy rash on the dorsal aspects of her
hands. She also reports overall dry skin that started about 7 months ago and worsens in
the winter, use of scented lotion, and new stacker rings. Denies exposure to
environmental/plant-based irritants, new lotions, soaps, detergents, fever, cough, and
other URI symptoms. Physical examination shows erythematous, flaky, and dry skin with
poorly demarcated borders to the dorsal aspects of the hands and thickened, leathery skin
on the bilateral antecubital fossae. Auspitz sign is negative on all affected areas.
Case Context
This i-Human Graduate Premium Sick Visit Case (H&P + Dx) is set in an outpatient clinic with laboratory
capabilities. The learner must conduct a thorough history and physical examination, synthesize clinical
findings, and formulate an accurate diagnosis with an evidence-based management plan.
Learning Objectives
• Identify the classic morphology and distribution of atopic dermatitis in the adolescent population
• Distinguish atopic dermatitis from contact dermatitis, psoriasis, and other common dermatoses
• Apply Hanifin & Rajka diagnostic criteria to confirm the diagnosis
• Formulate a stepwise, evidence-based management plan aligned with AAD guidelines
• Develop a comprehensive SOAP note and patient education plan
i-Human Case | Atopic Dermatitis — Pediatric | Academic Use Only
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
Comprehensive i-Human Case
Week 4Itchy Skin — 13-Year-Old Female
Complete Case Guide
Good Questions | Correct Physical Exam | Assessment | Key Findings
Diagnostic Tests | Differential Diagnosis | Final Diagnosis | SOAP Notes |
Management Plan
Patient Setting Case Type
13 y/o Female | 5'2" | 104 Outpatient Clinic w/ Lab H&P + Dx | Graduate
lb Capabilities Premium
i-Human Case | Atopic Dermatitis — Pediatric | Academic Use Only
, i-Human Case Week 4 | Itchy Skin (13-Year-Old) | Complete Case Guide
Table of Contents
1. Case Overview & Problem Statement 3
2. Patient Demographics & Vitals 4
3. Chief Complaint & History of Present Illness 5
4. Recommended Interview Questions & Rationale 6
5. Past Medical, Family & Social History 8
6. Review of Systems (ROS) 9
7. Physical Examination 10
8. Key Findings Summary 12
9. Clinical Assessment 13
10. Diagnostic Tests & Lab Interpretation 14
11. Differential Diagnosis 16
12. Final Diagnosis & Diagnostic Criteria 18
13. Pathophysiology 19
14. SOAP Note 20
15. Treatment & Management Plan 22
16. Patient & Caregiver Education 24
17. Follow-Up & Referral Plan 25
18. References 26
i-Human Case | Atopic Dermatitis — Pediatric | Academic Use Only
, i-Human Case Week 4 | Itchy Skin (13-Year-Old) | Complete Case Guide
Section 1: Case Overview & Problem Statement
Case Problem Statement
This patient is a 13-year-old female with a PMH of asthma and environmental allergies
who reports 2 weeks of a progressively worsening itchy rash on the dorsal aspects of her
hands. She also reports overall dry skin that started about 7 months ago and worsens in
the winter, use of scented lotion, and new stacker rings. Denies exposure to
environmental/plant-based irritants, new lotions, soaps, detergents, fever, cough, and
other URI symptoms. Physical examination shows erythematous, flaky, and dry skin with
poorly demarcated borders to the dorsal aspects of the hands and thickened, leathery skin
on the bilateral antecubital fossae. Auspitz sign is negative on all affected areas.
Case Context
This i-Human Graduate Premium Sick Visit Case (H&P + Dx) is set in an outpatient clinic with laboratory
capabilities. The learner must conduct a thorough history and physical examination, synthesize clinical
findings, and formulate an accurate diagnosis with an evidence-based management plan.
Learning Objectives
• Identify the classic morphology and distribution of atopic dermatitis in the adolescent population
• Distinguish atopic dermatitis from contact dermatitis, psoriasis, and other common dermatoses
• Apply Hanifin & Rajka diagnostic criteria to confirm the diagnosis
• Formulate a stepwise, evidence-based management plan aligned with AAD guidelines
• Develop a comprehensive SOAP note and patient education plan
i-Human Case | Atopic Dermatitis — Pediatric | Academic Use Only
