Case Study-Herpes Zoster

     Within a few days, sores (also called lesions) appear at the site of infection. Lesions can also occur on the cervix in women or in the urinary passage in men. These small red bumps may develop into blisters or painful open sores. Over a period of days, the sores become crusted and then heal without scarring. Other symptoms of a first episode of genital herpes can include fever, headache, muscle aches, painful or difficult urination, vaginal discharge, and swollen glands in the groin area.

Signs and symptoms to evaluate include, itching, burning, and tingling, as well as the tract of pain sensations. A complete physical examination and review of vital signs would be completed. Further diagnostic criteria include review of all underlying health conditions, paying particular attention to any diseases leading to immunosuppression, and all current medications (Cash & Glass, 2014). Diagnosis is typically completed based upon presentation and Laboratory conformation is not required, however viral cultures can confirm the diagnosis in cases of unusual presentation (Ferri,

Generally this means a pleasing appearance is not a guide to character. In this case, we

The general health of the patient is currently being compromised due to present illness mentioned above, but is stable. L.H. reports his usual health to be, “normal and not too crazy like this”. Patient has some fatigue noted while conducting daily activities; No recent weight change, fever or sweat. The skin noted to some discoloration on upper right side of back. There is no pruritus, rash or lesions present. Bruises noted bilateral on arms. Patient reported taking baby aspirin as daily medication. His hair is greying and thinning with no hair loss.

One will be an antiviral. This medicine is used to speed the healing process of the shingles virus. There will also be pain medicine in topical and oral form. I will make sure to tell the patient that they need to take and use the medicine as prescribed. The pain can get out of control if they do not follow the doctor’s orders. I will also explain that a luke warm bath with oatmeal can calm the affected nerves. These oatmeal baths can be purchased at the drug store. Wearing clothing that is loose can help to keep from irritating the sores.

Herpes Zosters also known as shingles is caused by the varicella zoster virus (VZV), the same virus that that causes us to get chickenpox. . Anyone who has ever had chickenpox in their youth years, are most likely to get shingles in their elder years. Once a person has chickenpox, the virus is still in the person body. It “sleeps” in certain nerves in your body and once you get older the virus will reactivate and become herpes zoster. Every 1 in 3 people will get shingles at the age 60 and older. About 1 million people in the U.S are affected by this virus. Having a low immune system can give the virus a chance to attack the victim. If the victim has a medical condition such as having leukemia, and lymphoma, having HIV, or even taking medication

In the later stages, an infected person experiences itching and tingling, pain, rashes, and blisters. The rash can appear within a few days, or within weeks later. “A rash can appear anywhere on the body, but will be on only one side of the body, the left or right. The rash will first form blisters, then scab over, and finally clear up over a few weeks” (WebMD, 2015). Pain and the rash are the telltale signs of shingles. Usually the rash is more painful than it is itchy.

Genital herpes infections frequently don't have any symptoms or moderate symptoms which go unrecognized. Most of the infected men and women are unaware they have the disease. Typically, about 10-20 percent of individuals with HSV-2 infection report a previous identification of yeast.

Herpes it looks just like cold sores and can be anywhere one the body. And if

Shingles Questions and Answers raquo , raquo , raquo Shingles Treatment See all photos Shingles and Nerve Damage Question My husband had shingles at the age of years old he now has , which was made better by a local healer from the village. He has been suffering from pains on the lower left hand side, under his rib cage for the past six years approximately exactly the same place he had shingles as a boy . These pains spread from the mid back to almost the belly button. We live in the south west of France and have been to see many specialists, eliminating one possible problem at a time we started with a full stomach, intestine check up, blood tests and x rays of internal organs everything is in good working order. After that he had two infiltrations, injections used to calm the pain, on the top

It is reported that the herpes virus is more easily transmitted from male to female than from female to male. It is reported that approximately one out of every five women between the ages of 14 to 49 years of age have the herpes virus and one out of nine men between the ages of 14 and 49 years of age have the herpes virus. The majority of individuals infected with NSV-1 or HSV-2 experience few if any symptoms or their symptoms are so mild that they do not even notice them or mistakenly believe that they can be attributed to another skin problem. When symptoms are noted it is in the form of blisters that are painful around the individual's "genitals, rectum or mouth." (Centers for Disease Control and Prevention, 2012, p.1) The blisters break and leave painful sores that may take two to four weeks to heal.

There is no specific cure for shingles. Your health care provider will likely prescribe medicines to help you manage any pain, recover faster, and avoid long-term problems. Medicines may include antiviral drugs, anti-inflammatory drugs, and pain medicines. If the area involved is on your face, you may be referred to a specialist, such as an eye doctor (ophthalmologist) or an ear, nose, and throat (ENT) doctor to help you avoid eye problems, chronic pain, or disability.

Hi Angela- Great post, very informative!! In the past, both my grandfather and uncle have had shingles and seeing them go through the pain they went through was unreal. My grandfather had shingles in his eye (probably the worst area to have it) and my uncle had the shingles on his lower back. I would have chosen shingles as my second topic for my research paper, since we are still conducting more research on this disease worldwide. The resources you provided our class with are helpful in explaining to basics to the more advance with proper treatment as provided this would have been useful to both my grandfather and uncle.

As per office notes dated 5/4/16, the patient is seen for bilateral elbow pain and bilateral wrist pain. She rates the pain as 3/10 with medication and 7/10 without medication. She is active for at least six hours a day and has energy to make plans. Her activity level has

The herpes virus is one of the most prevalent viral diseases known to man. As much as eighty percent of all people, worldwide, have herpes simplex virus type 1 (HSV1), and twenty percent have herpes simplex virus type 2 (HSV2). This may sound like scary statistics, but most infected people suffer only mild discomfort. The more common form, HSV1, usually causes the occasional blister-like sores on or around the mouth. These blisters are called cold sores or fever blisters and, as most sufferers know, they are annoying and mildly painful but rarely dangerous. If the sores are left alone, they will generally heal up in five to twenty days. The less common version, HSV2, has the same symptoms except that the sores are usually found on or