Stevens - Johnson syndrome is a rare immune response in which the person’s epidermal layers die and

Clinical Manifestations: (What are the textbook signs & symptoms of the disease? *Highlight the s/s your patient has.)

BB’s skin presents as pink, warm and dry. No obvious signs or symptoms of abnormal bruising or lesions present however, the patient states that the skin has of late has

Skin (history of skin disease, pigment or color change, change in mole, excessive dryness or moisture, pruritus, excessive bruising, rash

HEENT are basically unrevealing. Temp in the office today is 98.4. The outer area of the mouth extending into the chin reveals macules, vesicles, copious purulent exudate forming honey- colored crust on a erythematous base. Skin on trunk, arms and legs is clear. No other symptomology

Mr. .J. is a 30 year old Caucasian male presented to the Emergency Department with symptoms of myalgia, fever, rash, swollen glands, leukopenia, and thrombocytopenia. Mr. J. reported fever and sore throat started about a week ago and the rash presented today. Mr. J. stated “I thought I had the flu but I am not feeling any better and now I have a rash, that’s why I decided to come to the E.D.”. (Health and Human Services panel, 2013)

Patient denies history of skin disease. Reports two serious sun burns while swimming and not re-applying sun screen. Reports occasional dryness of skin during the winter. Denies any

Woman and men had swelling in the groin or under armpit, it was the size of an egg. This infected area would have pus or blood is oozing out. Some of the other effects are vomiting, diarrhea, aches in the body, or having a fever. After the symptoms change black or purple spots are found on the body. Sooner or later the person with the disease will die.

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

John is a forty-five year old male who presented in the emergency room experiencing abdominal pain in the right lower quadrant of the ventral cavity. The pain is felt in the umbilical region, right iliac region, and right lumbar region. He is also experiencing pale skin and fatigue. John has a previous history of gastritis(inflammation of the stomach), gastroesophageal reflux disease(stomach acids coming into esophagus), and bradycardia (abnormally slow heart rate). After the laboratory drew blood, the doctor began examining John. Upon his examination, he discovered that John's epidermis was abnormally dry and flaky; this is also known as ichthyosis, proximal to the tibia and fibula. Once the blood work came back, the doctor found the source

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SJS and TEN are severe mucocutaneous reactions, most commonly triggered by medications, characterized by extensive necrosis and detachment of the epidermis. The two conditions are distinguished based on severity, which is scaled by evaluating the percentage of body surface area involved in the blisters and erosions. SJS is the less severe and more common condition with 30% of the body surface with mucous membranes involved in the majority of cases. The mucous membranes were not involved in this patient making SJS and TEN less likely. However, the mortality rate for SJS is 10% and TEN is 30%, which is why it was important to rule out these conditions before sending the patient home. Although SJS and TEN are usually triggered by medications, one study showed that approximately 20-25% of pediatric cases could not be clearly attributed to a drug. While this patient’s history does not indicate any new medications, we cannot simply rule out the possibility of SJS or TEN for that

L.F, age 91, diagnosed with hypertension, dementia, and hx of falls. The clients general skin pigmentation had no deviations or abnormals from normal skin color, expect for on the clients left buttock. The area on the buttock was red, but still blanchable. The skin was warm to palpate in all areas of body expect for her hands. The clients hands were cold to touch but no problems or complaints noted from the patient. Skin turgor tested on clients sternum and top of hand. Skin turgor was loose and returned to normal baseline within one second. The clients skin was soft to touch, with only small area of dryness located on the clients buttock. Client had many winkles all over body. There was no odor detected on client. Deodorant was used during

Symptoms usually include skin lesions paired with pain described as a burning sensation, along with itchiness and prickling sensations as well. One common symptom is very painful photosensitivity. This then manifests itself as a burning and itching sensation on the epidermal layer of the skin. At certain times, the itching sensations are completely unbearable. Rubbing the itchy spots with ice can be the only relief, and the relief only lasts for a short period of time. Regular anti-itch remedies, including cortisone anti-histamine topical preparations, and Calamine lotion generally provide little to no relief. Even exposal to surgical lights can trigger this itchy reaction. Prolonged exposure to the sun can lead to oedema of the hands, face (sometimes occurring on the lips), and feet; which rarely leads to blistering and petechiae (small red or purple spots appearing on the skin either in particular areas or widespread throughout the surface of the body). Also, skin thickening may occur, depending on the severity of EPP in the specific patient. When a person has EPP, their skin may appear red, dry and scaly. It looks as though the skin is raw but dry at the same time. The skin may also be scabbed

Chagas disease occurs in two stages. The severity and course of infection might be different in people infected at different times in life and in different ways. The first stage is the acute stage, which is characterized by the presence of chagomas. This stage lasts for the first few weeks or months of infection. It usually goes unnoticed because it is either asymptomatic, or the infected only exhibit signs/symptoms that are not entirely unique to the disease. This includes headaches, rash (chagomas), loss of appetite, fever, fatigue, body aches. The signs on physical examination may include mild hepatomegaly or splenomegaly and swollen glands. The most recognized marker of acute Chagas disease is called Romana’s sign, which refers to the swelling of the eyelids on the side of the face nearest the initial infection area (CDC, 2013). Even if these symptoms do occur, they usually fade away on their own, which is why the infection usually persists. If left untreated and/or unnoticed, the infected will end up in the chronic stage of the disease. In this stage, the infection may continue to remain silent for decades, or even throughout the entire life. 30% of infected in this stage will develop cardiac complications (cardiomyopathy, heart failure, cardiac arrest) or intestinal complications (megaesophagus, megacolon) (CDC, 2013). For most patients who develop a cardiac complication, it is too late and there is no treatment besides symptomatic.

Mycoplasma Pneumonia is the most common pneumonia ranging in older kids and younger adults. This type of lung infection goes by many different names such as Walking Pneumonia, Eaton Agent Pneumonia and Primary Atypical Pneumonia. Mycoplasma Pneumoniae is one of the smallest living organisms that can reproduce outside of a cell but, prefers to have a host and to be parasitic. Mycoplasma pneumoniae likes to party in the late summer and early fall especially in communities but is still found in the other seasons.