i-Human Case 13-Year-Old Female – week 4 Reason for
Encounter Itchy Skin (Pruritis) - Comprehensive Case
study H&P + Dx Week 4 & 8
Patient information
• Age: 13 years old,
• Height: 5'2" (157 cm)
• Weight: 105 lbs (47.6 kg).
• Reason for Encounter: Itchy skin.
• Setting: Outpatient clinic with laboratory capabilities.
• Case Type: Graduate Premium Sick Visit (History & Physical + Diagnosis).
,History of Present Illness (HPI) –Question Table
Pivotal Concept
# Category Question Response
Addressed
“My skin has been
1 HPI Chief Complaint What brings you in today?
really itchy.”
How long have you been
2 HPI Symptom Duration “About a week.”
feeling itchy?
Did the itching start suddenly
3 HPI Onset “Gradually.”
or gradually?
4 HPI Initial Location Where did the itching start? “On my arms.”
“Yes, to my legs and
5 HPI Spread Has it spread to other areas?
stomach.”
Is it on both sides of your
6 HPI Distribution “Yes.”
body?
How bad is the itching on a
7 HPI Severity “About a 7.”
scale of 0–10?
Is the itching worse at
8 HPI Timing “At night.”
certain times?
, Pivotal Concept
# Category Question Response
Addressed
9 HPI Sleep Impact Does it affect your sleep? “Yes.”
10 HPI Skin Appearance Have you noticed a rash? “Yes.”
What does the rash look
11 HPI Rash Description “Red bumps.”
like?
12 HPI Skin Changes Any dry or flaky skin? “Yes.”
13 HPI Scratching Do you scratch often? “Yes.”
Any bleeding or sores from
14 HPI Skin Damage “A little.”
scratching?
15 HPI Pain Is the rash painful? “No.”
16 HPI Burning Does it burn or sting? “Sometimes.”
17 HPI Aggravating Factors What makes it worse? “Heat and sweating.”
18 HPI Relieving Factors What helps the itching? “Cool showers.”
Have you used any new
19 HPI New Products “Yes.”
soaps or lotions?
20 HPI Detergents Any new laundry detergent? “Yes.”
Encounter Itchy Skin (Pruritis) - Comprehensive Case
study H&P + Dx Week 4 & 8
Patient information
• Age: 13 years old,
• Height: 5'2" (157 cm)
• Weight: 105 lbs (47.6 kg).
• Reason for Encounter: Itchy skin.
• Setting: Outpatient clinic with laboratory capabilities.
• Case Type: Graduate Premium Sick Visit (History & Physical + Diagnosis).
,History of Present Illness (HPI) –Question Table
Pivotal Concept
# Category Question Response
Addressed
“My skin has been
1 HPI Chief Complaint What brings you in today?
really itchy.”
How long have you been
2 HPI Symptom Duration “About a week.”
feeling itchy?
Did the itching start suddenly
3 HPI Onset “Gradually.”
or gradually?
4 HPI Initial Location Where did the itching start? “On my arms.”
“Yes, to my legs and
5 HPI Spread Has it spread to other areas?
stomach.”
Is it on both sides of your
6 HPI Distribution “Yes.”
body?
How bad is the itching on a
7 HPI Severity “About a 7.”
scale of 0–10?
Is the itching worse at
8 HPI Timing “At night.”
certain times?
, Pivotal Concept
# Category Question Response
Addressed
9 HPI Sleep Impact Does it affect your sleep? “Yes.”
10 HPI Skin Appearance Have you noticed a rash? “Yes.”
What does the rash look
11 HPI Rash Description “Red bumps.”
like?
12 HPI Skin Changes Any dry or flaky skin? “Yes.”
13 HPI Scratching Do you scratch often? “Yes.”
Any bleeding or sores from
14 HPI Skin Damage “A little.”
scratching?
15 HPI Pain Is the rash painful? “No.”
16 HPI Burning Does it burn or sting? “Sometimes.”
17 HPI Aggravating Factors What makes it worse? “Heat and sweating.”
18 HPI Relieving Factors What helps the itching? “Cool showers.”
Have you used any new
19 HPI New Products “Yes.”
soaps or lotions?
20 HPI Detergents Any new laundry detergent? “Yes.”
