Patient presents with pruritus, also known as itching.  The patient describes the itch as [character of itch: e.g., burning, stinging, prickling, crawling].  The itch is located [location of itch: e.g., generalized, localized to arms, legs, back].  Onset of the pruritus was [onset: e.g., gradual, sudden] [time frame: e.g., two weeks ago, yesterday].  Associated symptoms include [associated symptoms: e.g., rash, skin lesions, dry skin, hives, redness, swelling, scaling, warmth, pain, fever, fatigue, weight loss, jaundice, night sweats].  Patient denies [denied symptoms: e.g.,  recent travel, new medications, exposure to new allergens].  Physical exam reveals [physical exam findings: e.g., erythematous rash, excoriations, dry skin, no visible lesions, normal skin turgor].  Differential diagnoses include xerosis, eczema, atopic dermatitis, contact dermatitis, urticaria, psoriasis, drug eruption, scabies, insect bites, systemic diseases such as cholestasis, chronic kidney disease, and Hodgkin's lymphoma.  Assessment:  Pruritus of [likely etiology if determined: e.g., unknown etiology, likely allergic contact dermatitis].  Plan:  [Treatment plan: e.g., Patient education on avoiding scratching, application of emollients, short course of topical corticosteroids, referral to dermatologist, further investigation with laboratory testing if indicated, prescription for antihistamines].  Follow-up as needed.  ICD-10 code:  [appropriate ICD-10 code based on suspected etiology, e.g., L29.9 - Pruritus, unspecified].  Return to clinic in [time frame] or sooner if symptoms worsen.