Gemma jones ihuman

iHuman Case Study

  Gemma Jones

‘‘A 2 y/o Female Patient with Rash’’

2022-2023 

Gemma Jones

Information

2yo female 2’10”

28 lb/ 12.7kg

Reason for encounter: Rash

Vital signs- optional, look in patient record to get credit Hx categories folder- available on start

Hx Feedback- OLDCARTS format Question Limit- 100

Interview button progress- 6 hints available Skin is warm and dry

Gemma Jones is a 2 yo female UTD until 12m on immunizations

Born at 38 GA NSVD, no complications NKDA

Received booster vaccines at 18m

Essential Questions

How can I help her today?

Does she have any other symptoms or concerns we should discuss? Has she been having fevers?

How is her appetite? Any recent change?

Did she have any other problems two to four days before the rash started? When did her fever start?

On what part of her body did the rash start and where did it spread? Is her rash painful or itchy?

Is she coughing up any sputum?

What treatment has she had for her cough? What treatments has she had for her rash?

How high is her fever?

How many wet diapers does your child make per day? How many stool diapers does your child make per day? Is she taking any OTC or herbal medications?

Does she have any allergies?

Key findings

Cough Runny nose Fever

Rash

Problem Statement

Gemma Jones is a 2yo female without any significant medical history who presents with new onset rash on her abdomen today that has since worsened spreading to all extremities. She recently had a nonproductive cough, runny nose, and fever (103). The fever resolved yesterday. Intake and output have been normal.

Differentials

Exanthema subitem (Roseola)- Lead diagnosis, MNM Human parvovirus 19- Related, alt diagnosis, MNM Measles- Related, alt diagnosis, MNM

Rubella- Related, alt diagnosis, MNM URI- Related, alt diagnosis, MNM Testing

No testing is necessary. Can test IgM for all except URI and chest xray for URI but none are necessary.

Symptoms alone support diagnosis of Roseola

Plan

Reassurance that rash will resolve on its own in a few days Rest and hydration

Full recovery in approximately a week