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– ## Case2.docx **## Case2.docx** | | | | — | — | | | **Case 2** | | **Chief Complaint**<br>**(CC)** | A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks. | | **Subjective** | She has been going on a daily basis to the local YMCA with chi…

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– ## Case2.docx

**## Case2.docx**

| | |
| — | — |
| | **Case 2** |
| **Chief Complaint**<br>**(CC)** | A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks. |
| **Subjective** | She has been going on a daily basis to the local YMCA with children for Summer camp. |
| **VS** | (T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74 |
| **General** | healthy-appearing female in no acute distress |
| **HEENT** | EYES: no injection, no increase in lacrimation or purulent drainage;<br>EARS: normal<br>TM: Normal |
| **Skin** | Mild edema with inflammation located on forearms, upper arms, and chest wall, thighs and knees; primary lesions are a macular papular rash with secondary linear excoriations on forearms and legs. |
| **Neck/Throat** | No neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline. |

1.
**What other subjective data would you obtain?**

2.
**What other objective findings would you look for?**

3.
**What diagnostic exams do you want to order?**

4.
**Name 3 differential diagnoses based on this patient presenting symptoms?**

5.
**Give rationales for your each differential diagnosis.**

**## Case2.docx**

| | |
| — | — |
| | **Case 2** |
| **Chief Complaint**<br>**(CC)** | A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks. |
| **Subjective** | She has been going on a daily basis to the local YMCA with children for Summer camp. |
| **VS** | (T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74 |
| **General** | healthy-appearing female in no acute distress |
| **HEENT** | EYES: no injection, no increase in lacrimation or purulent drainage;<br>EARS: normal<br>TM: Normal |
| **Skin** | Mild edema with inflammation located on forearms, upper arms, and chest wall, thighs and knees; primary lesions are a macular papular rash with secondary linear excoriations on forearms and legs. |
| **Neck/Throat** | No neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline. |

1.
**What other subjective data would you obtain?**

2.
**What other objective findings would you look for?**

3.
**What diagnostic exams do you want to order?**

4.
**Name 3 differential diagnoses based on this patient presenting symptoms?**

5.
**Give rationales for your each differential diagnosis.**

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