Clinical note · #1
Office & outpatient
Patient: Emily Brown · DOB: 12/12/2012 · Date of visit: 09/11/2023
Chief complaint: Mild rash on arm
History: The patient is a 10-year-old girl who presents with a mild, itchy rash on her right arm for the past three days. No fever, no exposure to known allergens, and no other associated symptoms. No significant medical history reported.
Physical examination: General: patient is alert and playful. Skin: localized erythematous rash on the right forearm, no signs of infection, no spreading.
Assessment and plan: Rash is likely due to mild contact dermatitis. Recommended hydrocortisone cream twice daily and to avoid scratching. Rash expected to resolve within a few days. Follow up if it worsens or does not improve.
Electronically signed by Tera, John, NP 09/11/2023, 18:00
