Scabies
Chief Complaint
The patient's chief complaint is a rash and scathes that appear as tunnels. There are small, grey-white linear lesions with a minute black speck at the closed end. The rash is persistently itchy.
Precipitating/Alleviating Factors/Past Medical History
There are no obvious precipitating factors. The patient is young and otherwise healthy. The patient has a normal diet, and reports no surgeries, history of illness, medications (except OTC Tylenol) or allergies. The patient works in an oil field, however, and in the course of that work may have been exposed to hazardous chemicals, which are common in that industry. The patient's family does not have any medical history that appears related to the rash. The patient is sexually active with one partner. The patient's financial and living situation is stable. It is not known if the partner has a similar rash, but this would be important information because scabies is often sexually transmitted (Monsel & Chosidow, 2012).
Associated Symptoms
The rash is persistently itchy. Otherwise there are no associated symptoms reported.
Quality of Reported Symptoms
The itchiness is an impediment to comfort at this point. The patient is otherwise able to live as normal.
Temporal Factors
The patient has not indicated date of...
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