NR 511 Week 2 iHuman Virtual Patient Encounter Attempt 3786583 - Kaylee Hales.

History Notecard by Quinjha Henderson Triplett on case Kaylee Hales Use this worksheet to organize your thoughts before developing a differential diagnosis list. 1. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. 2. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. 3. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = Sx = Sx = Sx = Sx = Sx = Onset Location Duration Characteristics Aggravating Relieving Timing / Treatments Severity Attempt: 3786583 Report generated on 1/18/2026, 8:36:52 PM America/Denver Management Plan by Quinjha Henderson Triplett on case Kaylee Hales I. Diagnostic tests 1. Contact dermatitis relatively does not require diagnostic testing, physical exam, history, and assessment are used to diagnosis in primary care setting. II. Medications: write a specific prescription for each medication, including over-the-counter medications 1. Apply Clobetasol propionate 0.05% ointment on rashes twice daily for 14 days. 2. Cetirizine 10 mg(OTC) oral daily for 14 days for itching. 1. According to Lichtman et al., corticosteroids and antihistamine are treatments for contact dermatitis(2023). It is essential to avoid systematic steroids in mild to moderate cases due to the risk of reoccurrence with the use of strong corticosteroids. As the provider proper follow up and education is essential for optimal health outcomes for the patient. During follow up evaluation of treatment and monitoring for any symptoms from the topical cream is necessary. III. Suggested consults/referrals 1. No referrals at this time. Possible referral if symptoms worsen with the treatments provided, allergen testing and referral to dermatologist. IV. Client education 1. Avoid possible skin irritants, if hiking wear long pants and shirt 2. Go to ER for shortness of breath, chest pain, and fever 3. Take oatmeal baths to aid in symptom relief 4. Cold compresses on affected areas 5. If symptoms worsen or treatments do not help in improvement, come to office 6. Use Clobetasol ointment maximum of 2 weeks 1. Apply to clean dry skin 2. Wash hands before and after application 3. Apply a thin layer over affected area and delicately rub in V. Follow-up, including time interval and specific symptomatology to prompt a sooner return 1. Follow up in two weeks or if sooner symptoms worsen( spread of rash, worsening of itchiness or burning). VI. Citation 1. Litchman, G., Nair, P. A., Atwater, A. R., & Gossman, W. G. (2023). Contact dermatitis. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459230/ VII. Reflection: Address the following questions: Review the Healthy People 2030 Vaccination objectives. What vaccines would be recommended for a young adult? What opportunities for education would you identify? How would an individual’s opinions about vaccines impact your educational strategies? Include the following components: i. According to EBP the vaccination schedule