REASON FOR ENCOUNTER ; NEW RASH FOR 25 YEARS OLD
FEMALE PATIENT ACTUAL SCREENSHOT FOR THE CASE
…..INCLUDING ALL CLINICAL CASE REPORT/ "Clinical
Documentation"
,Case: 25 years
, Case: 25 years
Patient Information
• Age: 25 years old
• Height: 5'5" (165 cm)
• Weight: 120 lbs (54.5 kg)
• Reason for Encounter: New rash
CC: 25 y/o F HPI: .is a 25 y/o female presenting with an itchy and tender
“I have this ugly looking rash on my rash bilaterally on her inner thighs, and her left inner forearm.
upper thighs” The rash started about 36 hours ago after hiking in Napa with
her boyfriend. She states she spent time hiking, tried a new
sunscreen, tried new foods such as scallops and a new drink,
as well as spending time in the hot tub with her boyfriend. She
reports that her boyfriend does not have similar symptoms,
and that she has not tried any treatments for the rash.