I-HUMAN CASE STUDY WEEK 4: 13-YEAR-OLD FEMALE
WITH ITCHY SKIN PRURITUS COMPREHENSIVE SOAP
NOTE AND MANAGEMENT PLAN BY I-HUMAN
PATIENTS ACADEMIC LATEST EDITION 2026 EXAM
WITH ALL ANSWERS QUALIFIED TO BE 100% PASS!!!
,I-HUMAN Case Study Week 4 Exam (2026-2027 Edition)
13-Year-Old Female with Itchy Skin (Pruritus)
Comprehensive SOAP Note + Clinical Reasoning + Management Plan
History of Present Illness (HPI):
The patient is a 13-year-old female presenting with generalized pruritus (itching). The
symptoms began approximately 10 days ago and have gradually worsened. The itching is
described as persistent, moderate to severe, and worse at night, interfering with sleep.
The patient reports:
• Dry, rough skin over arms, legs, and trunk
• Increased scratching, especially at night
• Occasional mild redness in affected areas
• No visible pus, blisters, or open wounds initially
She denies:
• Fever or systemic illness
• Recent travel
• Contact with sick individuals
• New medications
• Known allergies
Possible triggers identified in history:
• Recent change in bathing soap or detergent
• Hot showers
• Dry weather exposure
• Possible stress from school
The pattern suggests a dermatologic or allergic condition rather than systemic disease.
Past Medical History (PMH):
, • No chronic illnesses reported
• No previous dermatologic conditions diagnosed (e.g., eczema not formally diagnosed
but possible history of dry skin)
• Immunizations up to date
Medications:
• No regular medications
• Occasional use of over-the-counter antihistamines or lotions (not consistent)
Allergies:
• No known drug allergies
• Possible environmental sensitivity (dust/pollen not confirmed)
Family History:
• No significant chronic skin diseases reported
• Possible family history of atopy (asthma, eczema, allergic rhinitis) may be present,
increasing risk of atopic dermatitis
Social History:
• Lives with parents in a household environment
• Attends school regularly
• No tobacco, alcohol, or drug exposure
• Bathing habits include frequent hot showers
• Uses scented soaps/detergents
Review of Systems (ROS):
• Skin: generalized itching, dryness, mild redness
WITH ITCHY SKIN PRURITUS COMPREHENSIVE SOAP
NOTE AND MANAGEMENT PLAN BY I-HUMAN
PATIENTS ACADEMIC LATEST EDITION 2026 EXAM
WITH ALL ANSWERS QUALIFIED TO BE 100% PASS!!!
,I-HUMAN Case Study Week 4 Exam (2026-2027 Edition)
13-Year-Old Female with Itchy Skin (Pruritus)
Comprehensive SOAP Note + Clinical Reasoning + Management Plan
History of Present Illness (HPI):
The patient is a 13-year-old female presenting with generalized pruritus (itching). The
symptoms began approximately 10 days ago and have gradually worsened. The itching is
described as persistent, moderate to severe, and worse at night, interfering with sleep.
The patient reports:
• Dry, rough skin over arms, legs, and trunk
• Increased scratching, especially at night
• Occasional mild redness in affected areas
• No visible pus, blisters, or open wounds initially
She denies:
• Fever or systemic illness
• Recent travel
• Contact with sick individuals
• New medications
• Known allergies
Possible triggers identified in history:
• Recent change in bathing soap or detergent
• Hot showers
• Dry weather exposure
• Possible stress from school
The pattern suggests a dermatologic or allergic condition rather than systemic disease.
Past Medical History (PMH):
, • No chronic illnesses reported
• No previous dermatologic conditions diagnosed (e.g., eczema not formally diagnosed
but possible history of dry skin)
• Immunizations up to date
Medications:
• No regular medications
• Occasional use of over-the-counter antihistamines or lotions (not consistent)
Allergies:
• No known drug allergies
• Possible environmental sensitivity (dust/pollen not confirmed)
Family History:
• No significant chronic skin diseases reported
• Possible family history of atopy (asthma, eczema, allergic rhinitis) may be present,
increasing risk of atopic dermatitis
Social History:
• Lives with parents in a household environment
• Attends school regularly
• No tobacco, alcohol, or drug exposure
• Bathing habits include frequent hot showers
• Uses scented soaps/detergents
Review of Systems (ROS):
• Skin: generalized itching, dryness, mild redness
