NR 576 Week 2 iHuman Virtual Patient Case Attempt 3723068 - Victoria Lewis

History Notecard by Korren King on case Victoria Lewis 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: 3723068 Report generated on 11/8/2025, 10:35:53 AM America/Denver Management Plan by Korren King on case Victoria Lewis 1. Diagnostic tests: no diagnostic tests were necessary. Diagnosed with contact dermatitis based on history and physical exam (Cleveland Clinic, n.d.). 2. Medications: write a specific prescription for each medication, including over-the-counter medications: Triamcinolone 0.5% topical cream, apply to the affected area twice daily for 7 days. Topical glucocorticoids are a first-line medication in the treatment of contact dermatitis (Dickel, 2023). Cetirizine 10mg, take one tablet once daily for itching. Benadryl OTC 25mg, take one tablet every 6 hours as needed for itching. 3. Suggested consults/referrals: No referral needed at this time. 4. Client education: She should be given information on contact dermatitis and possible triggers because avoiding triggers is a goal of treatment (Dickel, 2023). Education on each medication is important so that she adheres to them appropriately. Apply cool compress to affected area for comfort. Take oatmeal baths which can have anti- itch properties and help moisturize the skin (Pazyar et al., 2013). Refrain from scratching as much as possible. Educate to go to ER if she has any symptoms like difficulty breathing (Cleveland Clinic, n.d.)., fever, purulent drainage, or other signs of infection. 5. Follow-up, including time interval and specific symptomatology to prompt a sooner return: Follow up in 7-10 days with PCP unless the patient doesn't see improvement within 3 days, they should come in sooner to discuss a possible differential diagnosis (Dickel, 2023). 6. cite at least one relevant scholarly source as defined by program expectations References Cleveland Clinic. (n.d.). Contact dermatitis: Symptoms, causes & treatments. https://my.clevelandclinic.org/health/diseases/6173-contact-dermatitis Dickel, H. (2023). Management of contact dermatitis. Allergo Journal International, 32(2), 57–76. https://doi.org/10.1007/s40629-023-00246-9 Pazyar, N., Yaghoobi, R., Bagherani, N., & Kazerouni, A. (2013). Oatmeal in dermatology: A brief review. Indian Journal of Dermatology, Venereology and Leprology, 79(2), 147-153. https://ijdvl.com/oatmeal-in-dermatology-a- brief-review/ Attempt: 3723068 Report generated on 11/8/2025, 10:35:53 AM America/Denver Social History Category Data entered by Korren King Social History Socially drinks alcohol. Denies drug/tobacco use. Recent travel to Napa. Review of Systems Category Data entered by Korren King General Denies fever, denies fatigue. Integumentary / Breast C/o red/itchy rash to b/l inner thighs and L inner forearm. Denies excessive body hair