rash

onset

hours days weeks months years
sudden gradual

new?

new known/chronic

status

improving unchanged resolved spreading slowly spreading rapidly

context

exposure none heat cold sun exercise sweat season
new medication none yes

location

scalp face forehead cheeks periorbital upper lip chin neck
R UE shoulder arm elbow flexor forearm hand palm fingers
L UE shoulder arm elbow flexor forearm hand palm fingers
trunk L chest R chest L flank R flank L abdomen R abdomen
L upper back R upper back L lower back R lower back
groin L groin R groin genital perianal
R LE anterior thigh posterior thigh buttock knee calf flexor ankle foot toes webspaces
L LE anterior thigh posterior thigh buttock knee calf flexor ankle foot toes webspaces

symptoms

asymptomatic painful mild pruritus moderate pruritus severe pruritus drainage

treatments tried

nothing topical steroids moisturizer cold heat antihistamines

relieved by

nothing topical steroids moisturizer cold heat antihistamines

other

1°morphology

macule patch papule nodule plaque vesicle bulla pustule
blanchable erythema non-blanchable erythema no erythema
tender non-tender

2°morphology

scale: white/brown white/silver seborrheic
erosion necrosis crust impetigo sclerosis excoriations fissures papillomatosis hypertrichosis hypertrichosis lichenification vegetation eschar purpura ulceration scarring gangrene hyperpigmentation hypopigmentation telangiectasia leukoderma calcinosis poikiloderma cutaneous horn

configuration

single area scattered grouped/clusters linear annular dermatomal reticulated

distribution

non specific extremities sun exposed clothes flexors extensors

other

Assessment:

most likely dx:

papular, papulosquamous, papulo-vesicular
molluscum common warts seborrheic dermatitis pityriasis rosea psoriasis vulgaris lichen planus miliaria rubra scabies
epidermal lesions, eczematous lesions
lupus toxicodendron dermatitis atopic dermatitis senile purpura striae distensae
vesiculo-bullous, papulo-pustular
impetigo herpes simplex recidivans herpes zoster acne vulgaris

infectious candidiasis cellulitis
tinea versicolor pedis manuum corporis barbae cruris
other sunburn drug reaction

details/ddx

Plan:

avoidance

avoidance of triggers

medication

topical steroids PO steroids topical antifungal PO antihistamines PO antibiotics moisturizer

referral

dermatology

follow-up

2-4 weeks PRN only

RTC

instructions given

other

RASH:

S/

- area(s) involved:

O/
primary morphology:
secondary morphology:
configuration:
distribution:

A/

P/