Allergy
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Rash Assessment in A&E
Introduction
Hi, my name is Mark and I'll be conducting your triage today. Let's start by confirming your details.
Patient Details Confirmation
Could you please confirm your name and date of birth?
Brenda King: 14th June 1984
Reason for Visit
What brings you to A&E today, Brenda?
Brenda: Well, I've developed a rash all over my body that's very itchy. I noticed it about two days ago after changing my fabric softener, but creams from the pharmacy haven't helped.
Initial Assessment
Let's start by taking your blood pressure while we continue our discussion.
Brenda: Sure.
Rash Description
Is the rash widespread or localized?
Brenda: It's all over, mainly where my clothes end - torso and legs.
Vital Signs Check
We'll also check your temperature.
Brenda's Temperature: Normal
Additional Symptoms
Have you experienced any other symptoms?
Brenda: No, just the discomfort and self-consciousness from the rash.
Specific Queries
Any shortness of breath or swelling in the mouth or abdomen?
Brenda: No, none of that.
Medical History and Medication
Do you have any existing medical conditions or allergies?
Brenda: No, I'm generally healthy and not on any medication.
Physical Examination
I'll listen to your breathing and check your pulse.
Brenda: Okay.
Recent Actions
Have you taken any medication like antihistamines?
Brenda: Tried Piriton, but it didn't fully alleviate the rash.
Conclusion and Next Steps
We'll arrange for you to see a GP at the urgent care centre for a thorough examination.
Brenda: Okay, thank you.
Mark: If anything changes before you see the doctor, please let someone know.
Brenda: Understood.
Head out the door, left down the path, and you'll find the urgent care centre.
Brenda: Thank you.
Mark: You're welcome.