FEMALE WITH NEW RASH COMPREHENSIVE SOAP NOTE & FOLLOW-
UP GUIDE LATEST EDITION 2026-2027 WITH ALL QUESTIONS AND
ANSWERS QUALIFIED 100% PASS!!!!
, HISTORY OF PRESENT ILLNESS (HPI)
A detailed HPI is essential in dermatologic cases because many skin disorders appear similar
visually. The OLDCARTS framework should be used:
• Onset: Rash began approximately 3–5 days ago
• Location: Started on arms/trunk and spread
• Duration: Persistent since onset
• Characteristics: Itchy, red, raised lesions
• Aggravating factors: Heat, sweating, scratching
• Relieving factors: OTC antihistamines or creams may partially help
• Timing: Worse at night or after exposure
• Severity: Moderate itching and discomfort
Important associated questions include:
• Fever?
• Recent illness?
• Sick contacts?
• New medications?
• New soaps, detergents, cosmetics?
• Outdoor exposure?
• Insect bites?
• Sexual history if STI-related rash suspected?
• Travel history?
• Food allergies?
• Previous episodes?
The student should identify whether the rash is infectious, allergic, autoimmune, inflammatory,
or environmental.
REVIEW OF SYSTEMS (ROS)