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Assessment (A): Eczema (Atopic Dermatitis) based on the patient’s chief complaint of worsening rash and history of mild eczema. (Pertinent Positives: history of mild eczema, worsening rash on bilateral arms). (Pertinent Negatives: no reported history of asthma, no other skin lesions). Seborrheic Dermatitis (Pertinent Positives: flaky scalp, increased itchiness, primarily during colder months. Pertinent Negatives: no lesions or dermatitis elsewhere on the body, normal exam of the HEENT region). Secondary Infection (Pertinent Positives: excoriations noted, fever of 100.7 upon examination). Plan (P): Diagnosis: Eczema (Atopic Dermatitis) Plan: – Diagnostics: physical presentation – Use the ADCT (Atopic Dermatitis Control Tool) to determine the impact of the eczema on the patient’s daily life (Leshem et al., 2022). – Therapeutic: Change hydrocortisone 2.5% to Desoximetasone 0.25% topical cream to reduce inflammation and itchiness. Quantity: 60 grams, refills: 0; Apply to affected area 2 times per day. Educational: Educate parents and patients about common eczema triggers to avoid. Encourage the use of lotions such as Cetaphil to help prevent flare-ups. Educate the patient on the side effects of the new medication and advise the patient to only take it as prescribed. – Consultation/Collaboration: Refer to a dermatologist if the condition does not improve

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