Example Of Rash Case Study

SKIN: She has some mild ecchymosis on her skin, and some erythema. She has patches but no obvious skin breakdown. She has some fissuring in the buttocks crease. PULMONARY: Clear to percussion and auscultation bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, nontender, protuberant, no orgonomegaly, and positive bowel sounds. NEUROLOGIC EXAM: Cranial nerves II through XII are grossly intact. Diffuse hyporeflexia. MUSCULOSKELETAL: Erosive, destructive changes in the elbows, wrists, and hands consistent with rheumatoid arthritis. Has bilateral total knee replacements with stovepipe legs, and perimalleolar pitting edema 1 +. I feel no pulses distally in either leg. PSYCHIATRIC: Patient is a little anxious about these new symptoms and their significance. We discussed her situation and I offered her psychologic services. She refused for now.

The NMC Code (2015) states that nurse must ensure the get informed consent before carrying out any action. On examination, Ella had very dry and flaky skin with area of red patches and therefore it was diagnosed by the appearance and the elimination of other factors that Ella had mild eczema on her face and arms. This was also confirmed by the practice teacher. Eczema is an inflammatory skin condition that causes intense itching of the affected area and sometimes can be scaly red and itchy (National Eczema society, 2016). Assessment of eczema in babies and children must be holistic, taking into account physical and psychosocial factors. There is no cure for eczema and treatments aim to control the disease. First-line treatment consists of emollients, but many babies and children will also require the use of topical corticosteroids and other treatments as appropriate (NICE,2007). Moreover, on observation the reddened area there appeared to be no signs of broken skin, infection therefore requiring antibiotics or topical steroid treatment (NICE, 2007). There was currently no need for a General Practitioner (GP) referral and as advised in the NPC (1999) only in genuine need should prescriptions be

HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Chapman Robert Kinsey Patient ID: 110589 Room No.: 322-B Date of Admission: 23 February ---Admitting Physician: Martha C. Eaton, MD, Geriatrics Chief Complaint: Admitted from Dr. Max Hirsch’s office due to deep ulcer on left toe. Admitting Diagnoses 1. Severe peripheral vascular disease, status post deep ulcer on left toe. Rule out thrombolysis. The patient was admitted to a regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN, which puts patient into anaphylactic shock. 3. Continue with home medications. DETAILS OF PRESENT ILLNESS: Mr. Kinsey is an 87-year-old white gentleman with history of (1) Chronic atrial fibrillation, on Coumadin. (2) Chronic deafness,

The working diagnosis is that this patient is suffering from Angioedema as a result of Anaphylaxis and developing Urticaria. Angioedema is the swelling of deep layers of the skin due the accumulation of fluid, symptoms of Angioedema include swelling of the eyes, lips, hands and feet.

It was important to discuss with Lisa during consultation family history that could provide additional support for my final diagnostic conclusion .Going thru such topic area Lisa explain that her husband James dad was suffering with atopic eczema since childhood .This was quite an important piece of information as such conditions like atopic eczema ( dermatitis ) are hereditary conditions often (National Eczema Society ,2011).Atopic dermatitis or eczema is a chronic skin disorder inflammatory with pruritic skin that appears mostly on the face ,neck ,bends of the arms or legs caused by the malfunction in the skin barrier( NICE,2013).

My patient is a patient that is leaving the E.R. after being diagnosed with the shingles virus. The patient came into the E.R. with a rash on the right side of the trunk. The rash presented as clear blisters and was painful to the touch. The physician diagnosed the patient with

The patient points out a rash on the back of her neck that she states happened after

Ms. Bennett is a 67-year-old female here today complaining of a rash on her buttock.

The patient does state she has a lesion on her left calf that gets red and scaly. Sometimes it is there and sometimes it looks like it is almost gone away. It does not bleed.

40 patients were reported to have Psoriasis (skin rash) within their peripheral extremities. The skin rash appear to be red with pus, liquid oozing from the rash (looking like a zombie rash). Each patients are also reports that their extremities itch, and sometime even inflamed.

The rash can appear in more than one place on the body at the same time.

Skin:color consistent with ethnicity, dry, smooth, soft and warm to touch. No rashes or bruises present, nailbeds were pink. Temperature was 99.0F. No edema, jaundice or milia on her nose but a little peeling off her legs. No abnormal moisture or turgor

Although the symptoms of atopic dermatitis vary from person to person, the most common symptoms are dry, itchy, red skin. Typical affected skin areas include the folds of the arms, the back of the knees, wrists, face and hands. Less commonly there may be cracks behind the ears, and various other rashes on any part of the body. Itching is the primary symptoms of this condition.

Because of how common rashes are and how different they can be, providing a basic knowledge to teachers and parents can help in identifying rashes that may be contagious or not. Many rashes resolve on their own without treatment. But some rashes can be serious even life threatening. This is why it is important that rashes are taken seriously so they can be diagnosed and treated. Using the history of the child and previous rashes, physical examination, and consideration of red flags is paramount (Santistevan, Long, & Koyfman, 2017). There are many different causes of rashes and many look similar. (Ely and Seabury, 2010). By teachers identifying infectious rashes treatment can be started quickly and the spread can be stopped. It is important to have a basic knowledge of the most common and the rare contagious rashes so the child can be separated and receive

Dermatitis and eczema: swelling of the skin, normally encompassing swelling with an itchy rash. Dermatitis comes in many diverse forms, including atopic dermatitis (often mentioned as eczema), contact dermatitis and seborrheic dermatitis.