CASE STUDY # 2
CHEIF OF COMPLAIN: 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; EARS: normal TM: Normal
SKIN: CTA AP&L
NECK/ THOAT: 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
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