Patient Encounter 2

A 45-year-old female presents to a pharmacy with complaints of itching and wants a recommendation to treat it. Upon visual examination you see that she has erythematous papules on both legs. After further questioning, you learn that she has recently spent a great deal of time outside at a family picnic. She states that the picnic was in a wooded area near her home and that she and several others went on a short hike that day. She states that she was wearing shorts and "probably" came into contact with the grasses and weeds that lined the hiking trail. The rash appeared the same day as the picnic and she says that it seems to have spread since it first developed. From the information she has presented, you conclude that she has been exposed to poison ivy.

What information supports the possibility of poison ivy exposure?

Describe the symptoms that support this diagnosis.

Determine what the patient has tried to relieve her symptoms.

What are your treatment goals for this patient?

What nonpharmacologic and pharmacologic treatment options are available for this diagnosis?

Given the information presented, develop a treatment regimen for this patient including (a) a statement of the problem, (b) a patient-specific therapeutic plan, and (c) monitoring parameters to assess efficacy and safety.

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