IHuman Case Study 14-Year-Old Patient Reason for Encounter Bumps on Face Week#2 Class 6531
WEEK#2 CLASS 6531 IHUMAN CASE STUDY 14-YEAR-OLD PATIENT REASON FOR ENCOUNTER BUMPS ON FACE
WALDEN UNIVERSITY IHUMAN CASE STUDY
Case Summary:
• Age: 14 years old
• Height: 5'4" (163 cm)
• Weight: 133 lbs (60.5 kg)
• Chief Complaint: Bumps on the face
Possible Clinical Approach:
1. Differential Diagnoses:
For facial bumps in adolescents, especially at 14 years old, common causes include:
• Acnevulgaris (most common)
• Folliculitis
• Milia
• Contact dermatitis
• Sebaceous hyperplasia
• Keratosis pilaris (less likely on face)
2. History Taking:
Key questions to ask:
• Onset and duration of the bumps?
• Any itching, pain, or discharge?
• Use of any new skincare products?
• Dietary patterns or recent stress?
• Family history of acne or skin conditions?
• Any systemic symptoms?
3. Physical Exam:
• Distribution: T-zone (forehead, nose, chin), cheeks?
• Type of lesions: Open comedones (blackheads), closed
comedones (whiteheads), pustules, nodules?
• Presence of scarring or
hyperpigmentation?
• Signs of infection (redness, warmth, pus)?
4. Diagnostic Considerations:
• Clinical diagnosis is usually sufficient for acne.
• If uncertain, consider:
o Skin culture (if infected)
o Hormonal evaluation (if signs of hirsutism or irregular
periods in females)
5. Management Plan:
Mild Acne:
• Topical benzoyl peroxide or salicylic acid
• Topical retinoids (adapalene)
Moderate to Severe Acne:
• Combination therapy: Benzoyl peroxide + topical clindamycin +
topical retinoid
• Oral antibiotics (e.g., doxycycline) for inflammatory acne
• Consider dermatology referral for severe nodulocystic acne or if
scarring
Patient Education:
• Wash face with gentle cleanser twice daily
• Avoid picking or squeezing lesions
• Consistent medication use is key
• Avoid oily or comedogenic skin products
i- Human Case Week #2 – Clinical Evaluation Report
Patient: 14-year-old Male
Height: 5'4" (163 cm)
Weight: 133 lbs (60.5 kg)
Reason forEncounter: Bumps on face
SubjectiveData Chief Complaint (CC):
"These bumps on my face won’t go away."
History of Present Illness (HPI):
Patient reports facial bumps for the past 6 months, gradually increasing in number and sometimes becoming red or painful. No itching reported. He has not used any prescription treatments. Over-the-counter cleansers have not helped. Denies fevers, fatigue, or systemic symptoms.