RASH WALDEN UNIVERSITY MSN-FNP WEEK 2
LATEST EDITION 2026 WITH COMPREHENSIVE
GUIDE BY LAUREN PALUCH WITH CORRECT
QUESTIONS RANKED 100% PASS!!!!!
,iHuman Case Study: Sarah Mitchell – New Rash (MSN-FNP Week 2)
Comprehensive Clinical Examination Guide (2026/2027)
1. Patient Overview
Sarah Mitchell is an adult female presenting to primary care with a new-onset skin rash.
Dermatologic complaints are common in outpatient settings and require careful assessment to
determine whether the rash is:
• Infectious
• Allergic
• Inflammatory
• Autoimmune
• Medication-related
• Environmental
The case evaluates the learner’s ability to:
• Perform focused dermatologic history
• Describe rash morphology accurately
• Identify red flags
• Form a differential diagnosis
• Create an evidence-based treatment plan
2. Chief Complaint (CC)
“I have a rash that started a few days ago and it is very itchy.”
3. History of Present Illness (HPI)
Sarah Mitchell reports a new rash that began approximately 3–5 days ago. The rash is
described as pruritic (itchy) and has gradually spread since onset.
Key characteristics include:
, • Location: commonly starts on arms, trunk, or neck
• Progression: spreading or localized depending on trigger
• Appearance: erythematous (red), raised or flat lesions
• Symptoms: intense itching, possible mild burning
• Timing: acute onset
• Triggers: possible exposure to new soap, detergent, plants, foods, or medications
She denies:
• Fever or chills
• Shortness of breath
• Facial swelling (unless allergic reaction suspected)
• Painful lesions (important for differentiating infections like shingles)
No prior history of similar rash episodes unless allergic dermatitis is chronic.
4. Past Medical History (PMH)
• May include history of:
o Allergic rhinitis
o Asthma
o Eczema or atopic dermatitis
• Otherwise unremarkable in many cases
5. Medications
Important to assess for:
• New antibiotics (e.g., penicillin, sulfa drugs)
• NSAIDs
• Herbal supplements
• Over-the-counter creams or lotions