CASE STUDY:
Olivia is a 23-year-old pregnant female at 35 weeks EGA who has been receiving routine prenatal care throughout her pregnancy and now comes to the clinic complaining of relentless itching all over her body that started in the palms of her hands. Upon physical examination, you note no obvious rash, just some mild excoriations from Olivia scratching herself. Olivia denies other symptoms or complaints. FH is 34 cm, FHR 158, and all VS are WNL.
What will you include in your differential diagnoses, and what test(s) will you order to help ascertain the correct diagnosis?
Write a brief summary of the pathophysiology of this diagnosis and the evidence-based guideline recommendations for management.
Provide evidence from the research to support your decision-making.
Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals and other team members needed to complete patient care. Using SOAP note Format