I-HUMAN CASE STUDY WEEK 4: 13-YEAR-OLD FEMALE
WITH ITCHY SKIN - COMPREHENSIVE HPI, ROS, &
PHYSICAL EXAM 2026 -2027 LATEST EDITION BY I-
HUMAN PATIENTS ACADEMIC TEAM GUARANTEED
100 % PASS!!!!!!
,Patient Information
• Name: Emma Rodriguez
• Age: 13 years old
• Gender: Female
• Chief Complaint: “My skin has been very itchy.”
This pediatric dermatologic case focuses on evaluating a teenager with persistent itching and
skin irritation. The purpose of the examination is to determine the cause of the itching, assess
severity, identify possible triggers, and rule out serious skin or systemic conditions.
1. History of Present Illness (HPI)
Emma Rodriguez is a 13-year-old female who presents with complaints of itchy skin that started
approximately 2–3 weeks ago. The itching initially began on the flexural surfaces of the arms
and behind the knees but has gradually spread to portions of the neck and wrists. The patient
describes the itching as persistent and worse at night, causing difficulty sleeping and frequent
scratching.
She reports that the rash appears dry, red, and occasionally flaky. Scratching temporarily
relieves symptoms but often causes worsening irritation afterward. The patient denies pain,
burning sensation, bleeding, or purulent drainage from the affected areas.
Emma states that symptoms worsen after hot showers, sweating, and wearing certain fabrics
such as wool. She reports partial improvement when applying unscented moisturizer but no
complete resolution. She denies recent use of new soaps, lotions, detergents, perfumes, or
medications.
The patient denies fever, chills, weight loss, joint pain, oral ulcers, or recent illness. No recent
travel, insect bites, or sick contacts are reported. She denies exposure to known allergens or
chemicals.
Her mother reports a history of “sensitive skin” since childhood and occasional seasonal
allergies. There is also a family history of eczema and asthma in close relatives.
The itching has started interfering with school concentration and sleep quality due to nighttime
scratching.
2. Past Medical History (PMH)
, • History of mild seasonal allergic rhinitis
• No prior hospitalizations
• No history of major illnesses
• No previous severe skin infections
• Immunizations up to date
• No history of autoimmune disease
3. Medications
• Occasional over-the-counter antihistamine for allergies
• Uses moisturizing cream intermittently
• No prescription medications currently
4. Allergies
• No known drug allergies
• Possible environmental allergies (seasonal pollen)
5. Family History
• Mother with eczema history
• Father with seasonal allergies
• Sibling with asthma
• No family history of psoriasis or autoimmune disease
6. Social History
• Lives with parents and siblings
• Attends school regularly
• No tobacco, alcohol, or drug exposure
, • No pets recently introduced into the home
• Denies sexual activity
• Normal developmental milestones achieved
7. Review of Systems (ROS)
General
• Denies fever, chills, fatigue, or weight loss
• Mild sleep disturbance due to itching
Skin
• Positive for itching, dryness, redness, and rash
• No bruising, bleeding, or open wounds
HEENT
• Denies headaches or vision changes
• Mild nasal allergies seasonally
• No sore throat
Respiratory
• No cough or shortness of breath
• No wheezing currently
Cardiovascular
• Denies chest pain or palpitations
Gastrointestinal
• No nausea, vomiting, diarrhea, or abdominal pain
The Gastrointestinal (GI) Examination is a physical assessment of the digestive system,
including the:
• Mouth
• Esophagus
WITH ITCHY SKIN - COMPREHENSIVE HPI, ROS, &
PHYSICAL EXAM 2026 -2027 LATEST EDITION BY I-
HUMAN PATIENTS ACADEMIC TEAM GUARANTEED
100 % PASS!!!!!!
,Patient Information
• Name: Emma Rodriguez
• Age: 13 years old
• Gender: Female
• Chief Complaint: “My skin has been very itchy.”
This pediatric dermatologic case focuses on evaluating a teenager with persistent itching and
skin irritation. The purpose of the examination is to determine the cause of the itching, assess
severity, identify possible triggers, and rule out serious skin or systemic conditions.
1. History of Present Illness (HPI)
Emma Rodriguez is a 13-year-old female who presents with complaints of itchy skin that started
approximately 2–3 weeks ago. The itching initially began on the flexural surfaces of the arms
and behind the knees but has gradually spread to portions of the neck and wrists. The patient
describes the itching as persistent and worse at night, causing difficulty sleeping and frequent
scratching.
She reports that the rash appears dry, red, and occasionally flaky. Scratching temporarily
relieves symptoms but often causes worsening irritation afterward. The patient denies pain,
burning sensation, bleeding, or purulent drainage from the affected areas.
Emma states that symptoms worsen after hot showers, sweating, and wearing certain fabrics
such as wool. She reports partial improvement when applying unscented moisturizer but no
complete resolution. She denies recent use of new soaps, lotions, detergents, perfumes, or
medications.
The patient denies fever, chills, weight loss, joint pain, oral ulcers, or recent illness. No recent
travel, insect bites, or sick contacts are reported. She denies exposure to known allergens or
chemicals.
Her mother reports a history of “sensitive skin” since childhood and occasional seasonal
allergies. There is also a family history of eczema and asthma in close relatives.
The itching has started interfering with school concentration and sleep quality due to nighttime
scratching.
2. Past Medical History (PMH)
, • History of mild seasonal allergic rhinitis
• No prior hospitalizations
• No history of major illnesses
• No previous severe skin infections
• Immunizations up to date
• No history of autoimmune disease
3. Medications
• Occasional over-the-counter antihistamine for allergies
• Uses moisturizing cream intermittently
• No prescription medications currently
4. Allergies
• No known drug allergies
• Possible environmental allergies (seasonal pollen)
5. Family History
• Mother with eczema history
• Father with seasonal allergies
• Sibling with asthma
• No family history of psoriasis or autoimmune disease
6. Social History
• Lives with parents and siblings
• Attends school regularly
• No tobacco, alcohol, or drug exposure
, • No pets recently introduced into the home
• Denies sexual activity
• Normal developmental milestones achieved
7. Review of Systems (ROS)
General
• Denies fever, chills, fatigue, or weight loss
• Mild sleep disturbance due to itching
Skin
• Positive for itching, dryness, redness, and rash
• No bruising, bleeding, or open wounds
HEENT
• Denies headaches or vision changes
• Mild nasal allergies seasonally
• No sore throat
Respiratory
• No cough or shortness of breath
• No wheezing currently
Cardiovascular
• Denies chest pain or palpitations
Gastrointestinal
• No nausea, vomiting, diarrhea, or abdominal pain
The Gastrointestinal (GI) Examination is a physical assessment of the digestive system,
including the:
• Mouth
• Esophagus
