Facial Sclerosis Case

Roger Lee is seen today for his intake physical but also has some concern about a lesion to the tongue, which was first identified by the dentist, Dr. ____ during his dental work on 10/26/2017. Now offender is currently still being treated with nystatin for thrush infection, he reports this tongue lesion which has been present for over 90 days now. Offender is a former smoker. He is concerned about it being a malignant lesion.

Seborrhoeic dermatitis manifests itself in areas of the skin that produce large amounts of sebum. Its is often seen around the areas of the face, scalp, and trunk. It affects all age groups and is incurable, though the effects can be kept under control. Symptoms of seborrheic dermatitis include dandruff on the scalp and red, scaly areas on the affected skin. The oiliness of the skin is believed to play a major role in the appearance of this condition, though the exact causes are poorly understood. Diagnosis involves examining the skin cells to rule out conditions such as psoriosis that have a similar appearance Treatments include shampoos containing

Height: (without shoes) 5’ 10”. Weight: (dressed) 160lbs. BMI: 22.96. BP: 110/70 (right arm supine) HR: 70. RR 16. Temperature (oral) 98.6F.

All vital signs should be recorded on each visit, including blood pressure, temperature, pulse, respiration rate, pain, weight, height, and body mass index (BMI). Significant fluctuation of any vital signs is a red flag and needs to be evaluated. False readings due to poor techniques or manufacture malfunction of equipment should be ruled out. Abnormal vital signs may be related to cardiac, pulmonary, or gastrointestinal systems. D.E.’s vital signs were within the normal limit during this visit.

With a plethora of skin lesion etiologies, a thorough focused history and physical examination is essential for recognition and its diagnosis (Dains et al., 2016, p. 325). In the case of John and his children, the onset of the lesion as well as his exposure to the outdoors are considered in the differential diagnoses. Additionally, both the positives and the negatives were taken into consideration when noting his history, in the review of systems, and in the physical examination. For example, some of the notable positives are: 1) the presence of a unilateral, purulent, and erythematous round lesion that is warm to touch; 2) the exposure to the outdoors with hobbies including camping, biking, and Nordic skiing; and

Per medical report dated 4/14/16, patient was prescribed with Norco, Lidocaine patches and topical reams.

Blood pressure: 130/62, pulse ______(s/l 68, but sounds like she corrects to 69), weight 201 pounds. The patient is pleasant in no acute distress.

Tinea capitis and seborrheic dermatitis (dandruff) are scalp disorders characterized by scaling and itchiness related to fungal infection. Tinea capitis usually affects children and is spread by direct contact. The skin lesions appear as scaly patches on the scalp that are often associated with hair loss (alopecia). Lymph nodes in the head or neck may enlarge as a reaction to scalp infection, but usually resolve with clearance of infection.

Mr. Smith is seen today for a facial laceration that occurred approximately 48 hours ago. The wound was initially closed with Steri-Strips and covered with a Band-Aid. Mr. Smith denies any visual changes, weakness, or numbness, or tingling in the facial muscles. He has not had any dizziness. He denies any signs or symptoms of secondary infection including fever, chills, or sweats. He reports that he moved the Steri-Strips yesterday because they were dirty.

The skin is not an isolated organ, but rather intimately connected with the internal environment of the body. Systemic and localized conditions can manifest cutaneously, and at times these manifestations may be the first symptoms of a condition. Diagnosis of internal conditions based on cutaneous manifestations can be challenging, despite the usefulness of these clinical findings as markers of these conditions. The lack of detection and misinterpretation of dermatologic signs/symptoms can result in delayed diagnosis and thus treatment, which can enable disease progression (Rigopoulos 2011). 1

Blood pressure 122/80. Pulse 76. Respiratory 14. Weight 210 pounds, which is stable for patient.

Skin: The client’s skin is even in color, unblemished and no presence of any foul odor. She has a good skin turgor, and skin’s temperature is within normal limit. There is good oxygen, circulation, and nutrition with no tissue damage. Patient has concern about being lights skin, but no melanoma noted to skin. Palms, sole of the feet, and lips show no signs of cyanosis. No erythema or redness noted to skin.

do you know if you take part in physical activities and eat a healthy diet, your skin will glow and you will look the best you are capable of. There are several studies which have shown the importance of vitamins C on the skin. If you eat a diet, which is full of vitamin C, then your skin will become healthy. Stay away from processed and unhealthy fats because they are harmful for your health.

Geraldine, my mother, had diabetes and dealing with numerous ailments; one of them is dermatitis covering 90% of her body and the other a broken elbow she encountered due to an accident. She developed dermatitis from poor hygiene; that was so severe that she had to endure the effects from the ailment for years because the doctors kept treating the symptoms, never explaining what the cause was. By treating the symptoms and never correcting what caused this problem infection set in, the disease caused her skin to break and ooze fluid causing the condition to spread to other parts of her body, not to mention the constant scratching she did throughout each day. After trying numerous antibiotic treatments, her body stops responding to treatment. After several medical opinions, a team of doctors studied

temperature 106, oxygen levels 52 and a respiratory rate of 22. The patient was a