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Case 2
Chief Complaint
(CC) 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.
Objective Data VS
(T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74
General
healthy-appearing female in no acute distress
HEENTEAR:
EYES: no injection, no increase in lacrimation or purulent drainage;
EARS: normal
TM: Normal
Skin
CTA AP&L
Neck/Throat
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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