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Itchy rashes in adults : Triage

Itchy rashes are a common concern in primary care, prompting many patients to seek medical advice. The primary objective when evaluating a patient with an itchy rash is to determine whether the condition necessitates immediate medical attention or can be safely managed at home. This decision-making process involves identifying any potential warning signs that may indicate a more serious underlying condition.


By systematically assessing the characteristics of the rash, associated symptoms, and patient history, healthcare providers can effectively triage cases, ensuring that urgent conditions are promptly addressed while less severe cases are managed appropriately. This approach not only optimizes patient outcomes but also efficiently utilizes healthcare resources.


Itchy Rash Triage Questionnaire

Question Purpose Reasoning & Conditions to Exclude
Where is the rash on your body? Differentiates between localized and systemic conditions. Localized: contact dermatitis; Systemic: viral exanthems.
How big is the rash? Is it larger or smaller than a quarter? Assesses extent; larger areas may suggest systemic reactions. Exclude small, localized irritant rashes.
How itchy is the rash? Is it painful as well? Differentiates between itchy and painful rashes. Itchy: eczema, scabies; Painful: herpes zoster, cellulitis.
When did the rash start? How long have you had it? Helps differentiate between...

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