I-HUMAN WEEK 4 CASE STUDY EMMA RODRIGUEZ – 13-
YEAR-OLD FEMALE WITH ITCHY SKIN COMPREHENSIVE
CLINICAL H&P EXAMINATION AND DIAGNOSTIC SOLUTION
2026/2027 LATEST WITH CORRECT ANSWERS EDITION
GUARANTEED PASS!!!!
,Name: Emma Rodriguez
Age: 13 years
Gender: Female
Ethnicity: Hispanic
Date of Visit: Week 4 Clinical Encounter
Source of History: Patient and mother
Reliability: Good historian with mother confirming details
Past Medical History (PMH)
• Childhood atopic dermatitis (eczema)
• Seasonal allergic rhinitis
• No asthma diagnosis
• No diabetes, hypertension, or chronic illnesses
• No prior hospitalizations
• Immunizations current according to CDC schedule
• No previous skin infections
Past Surgical History (PSH)
• No surgical history
Medications
• Cetirizine 10 mg PRN for allergies
• OTC hydrocortisone cream
• Fragrance-free moisturizer occasionally
Allergies
• No known drug allergies (NKDA)
, • Environmental allergies to pollen and dust mites
Family History
• Mother has asthma and eczema
• Father has hypertension
• Younger brother has allergic rhinitis
• No family history of autoimmune diseases or psoriasis
Social History
• Lives with parents and sibling
• Seventh-grade student
• Active in school volleyball
• Denies smoking, alcohol, or drug use
• No sexual activity
• No recent travel
• Exposure to household pet cat
Review of Systems (ROS)
General
• Denies fever, chills, weakness, fatigue, or weight loss
Skin
• Positive for itching, dry skin, redness, and rash
• Denies open sores, drainage, or bruising
HEENT
• Mild nasal congestion related to allergies
• Denies headache, sore throat, or vision changes
, Respiratory
• Denies cough, wheezing, chest tightness, or shortness of breath
Cardiovascular
• Denies chest pain or palpitations
Gastrointestinal
• Denies nausea, vomiting, diarrhea, or abdominal pain
Genitourinary
• Denies urinary symptoms
Musculoskeletal
• Denies joint pain or swelling
Neurological
• Denies dizziness, syncope, or numbness
Neurological Examination
A neurological examination is a structured clinical assessment used to evaluate the
function of the central nervous system (brain and spinal cord) and the peripheral
nervous system (nerves and muscles). It helps detect abnormalities affecting
movement, sensation, cognition, coordination, reflexes, and autonomic function.
It is essential in diagnosing conditions such as stroke, epilepsy, meningitis, brain tumors,
multiple sclerosis, neuropathies, and spinal cord injuries.
Purpose of Neurological Examination
The main goals are to:
• Assess brain function (cognition, consciousness)
• Evaluate cranial nerve integrity
• Test motor and sensory function
• Assess reflexes and coordination
• Identify neurological deficits
YEAR-OLD FEMALE WITH ITCHY SKIN COMPREHENSIVE
CLINICAL H&P EXAMINATION AND DIAGNOSTIC SOLUTION
2026/2027 LATEST WITH CORRECT ANSWERS EDITION
GUARANTEED PASS!!!!
,Name: Emma Rodriguez
Age: 13 years
Gender: Female
Ethnicity: Hispanic
Date of Visit: Week 4 Clinical Encounter
Source of History: Patient and mother
Reliability: Good historian with mother confirming details
Past Medical History (PMH)
• Childhood atopic dermatitis (eczema)
• Seasonal allergic rhinitis
• No asthma diagnosis
• No diabetes, hypertension, or chronic illnesses
• No prior hospitalizations
• Immunizations current according to CDC schedule
• No previous skin infections
Past Surgical History (PSH)
• No surgical history
Medications
• Cetirizine 10 mg PRN for allergies
• OTC hydrocortisone cream
• Fragrance-free moisturizer occasionally
Allergies
• No known drug allergies (NKDA)
, • Environmental allergies to pollen and dust mites
Family History
• Mother has asthma and eczema
• Father has hypertension
• Younger brother has allergic rhinitis
• No family history of autoimmune diseases or psoriasis
Social History
• Lives with parents and sibling
• Seventh-grade student
• Active in school volleyball
• Denies smoking, alcohol, or drug use
• No sexual activity
• No recent travel
• Exposure to household pet cat
Review of Systems (ROS)
General
• Denies fever, chills, weakness, fatigue, or weight loss
Skin
• Positive for itching, dry skin, redness, and rash
• Denies open sores, drainage, or bruising
HEENT
• Mild nasal congestion related to allergies
• Denies headache, sore throat, or vision changes
, Respiratory
• Denies cough, wheezing, chest tightness, or shortness of breath
Cardiovascular
• Denies chest pain or palpitations
Gastrointestinal
• Denies nausea, vomiting, diarrhea, or abdominal pain
Genitourinary
• Denies urinary symptoms
Musculoskeletal
• Denies joint pain or swelling
Neurological
• Denies dizziness, syncope, or numbness
Neurological Examination
A neurological examination is a structured clinical assessment used to evaluate the
function of the central nervous system (brain and spinal cord) and the peripheral
nervous system (nerves and muscles). It helps detect abnormalities affecting
movement, sensation, cognition, coordination, reflexes, and autonomic function.
It is essential in diagnosing conditions such as stroke, epilepsy, meningitis, brain tumors,
multiple sclerosis, neuropathies, and spinal cord injuries.
Purpose of Neurological Examination
The main goals are to:
• Assess brain function (cognition, consciousness)
• Evaluate cranial nerve integrity
• Test motor and sensory function
• Assess reflexes and coordination
• Identify neurological deficits
