Patient presents with a chief complaint of recurrent hives (urticaria), characterized by pruritic, raised, erythematous wheals of varying sizes.  Onset of symptoms was [timeframe] ago.  The patient reports episodes lasting [duration] and recurring [frequency], with no clear identifiable trigger in many instances.  Symptoms include itching, burning, and occasional swelling (angioedema).  Patient denies any respiratory distress, difficulty swallowing, or other systemic symptoms.  Review of systems is otherwise negative.  Past medical history includes [relevant medical history, e.g., allergies, asthma, eczema].  Medications include [list medications].  Family history is significant for [relevant family history, e.g., allergies, atopy].  Physical examination reveals [describe skin findings: e.g., multiple well-circumscribed wheals on [location], with surrounding erythema; no evidence of angioedema].  Differential diagnosis includes chronic idiopathic urticaria, physical urticaria, and urticaria due to an underlying medical condition.  Diagnostic workup may include allergy testing, complete blood count (CBC), erythrocyte sedimentation rate (ESR), and/or thyroid function tests to rule out other causes.  Assessment: Recurrent hives, likely chronic idiopathic urticaria.  Plan: Patient education on trigger avoidance and symptom management.  Prescribed [medication, e.g., second-generation antihistamine] for daily use.  Provided information on the use of short courses of oral corticosteroids for acute exacerbations.  Patient advised to return for follow-up if symptoms worsen or do not improve with treatment.  ICD-10 code: U07.1 (Chronic urticaria).