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action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/intelligentwr/nursingassignmentcrackers/wp-includes/functions.php on line 6114Properly identifying the cause and type of a patient\u2019s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.<\/p>\n
In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.<\/p>\n
Submit<\/strong> your Lab Assignment.<\/p>\n Ms. Jones, a pleasant 28-year-old lady of African American descent, arrived at the clinic to begin treatment for a recent injury to her right foot. She identified herself as the primary information provider. Throughout the evaluation, she speaks well and coherently while being open with her communication. She maintains amazing eye contact the whole exam.<\/span>\u00a0<\/span><\/p>\n The patient is awake and has a good sense of place, time, and other people. As she takes a seat upright, she doesn’t exhibit any indications of concern. She has dressed appropriately for her age and appears to be well-developed, fed, and quite sanitary.<\/span>\u00a0<\/span><\/p>\n Chief Complaint (CC): <\/span><\/b>A painful wound on the right foot.<\/span>\u00a0<\/span><\/p>\n History of Present Illness:<\/span><\/b> An African American woman named Tina, 28, alleges that a week ago while walking, she stumbled over a concrete step and twisted her right ankle, scraping the ball of her foot in the process. She went to a neighboring emergency unit, where an X-ray was ordered and found to be negative. Tramadol was nonetheless provided to her to help with the discomfort. She says she cleans the wound twice daily, applies antibiotic cream, and wraps it in a bandage. Even though the pain and swelling at the location of the injury have fully subsided, she claims that the bottom of her foot is still quite uncomfortable. She describes the discomfort as being weight-bearing, throbbing, and intense. But, the discomfort in her ankle has already subsided. She continues to rate the pain as 7\/10 even after a recent dose of tramadol. She gives the pain when bearing weight, a 9 out of 10. She describes a swollen football that has become redder over the last two days. A day before the current appointment, the wound was already dripping with an odorless discharge. She claims that recently, her shoes have been uncomfortable, so she has started wearing slippers instead. Her fever was 1020F last night. She, though, denies having been unwell recently. She reports an increase in hunger and an unintentional 10-pound weight reduction over the past month. She asserts that her diet and energy levels have not changed.\u00a0<\/span>\u00a0<\/span><\/p>\n Family History:<\/span><\/b> The mother, who is 50, has high cholesterol. Her Father died in an automobile accident when he was 58 years old. Diabetes and hypertension were present. Her sister suffers from asthma. Brother has no medical issues. At the age of 73, her maternal granny passed away after a stroke. At the age of 78, her maternal grandfather passed away after a stroke. At the age of 65, her paternal grandfather passed away from colon cancer. Her paternal grandmother is still living. There is no history of addiction, mental health problems, headaches, malignancies, or thyroid problems.<\/span>\u00a0<\/span><\/p>\n Social History:<\/span><\/b> The patient enjoys going to clubs and drinking alcohol on occasion. Her bachelor’s degree is in accountancy. She has a loving family and friends. There will be no cigarette or marijuana use. He goes to a Baptist church.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n General: Tina is polite, friendly, and well-organized in general. She is also well-groomed, responds well to queries, and is not depressed.\u00a0<\/span>\u00a0<\/span><\/p>\n HEENT: The patient complains of headaches when studying. He has impaired eyesight but does not use glasses. There is no runny nose or ear discharge. There is no swelling or painful throat.<\/span>\u00a0<\/span><\/p>\n Neck: There are no lymphatic problems or inflammation around the neck.\u00a0<\/span>\u00a0<\/span><\/p>\n Breasts: There is no nipple discharge or soreness in the breasts.\u00a0<\/span>\u00a0<\/span><\/p>\n Respiratory: No breathlessness, chest pain, or tightness.\u00a0<\/span>\u00a0<\/span><\/p>\n Cardiovascular\/peripheral: There are no blood clots in the cardiovascular or peripheral systems.<\/span>\u00a0<\/span><\/p>\n Gastrointestinal: No constipation, bowel disturbances, or watery stools. The patient feels thirsty and has an increased appetite.\u00a0<\/span>\u00a0<\/span><\/p>\n Gastrointestinal: No bowel changes, constipation, or watery stool. The patient has an increased appetite and is thirsty.<\/span>\u00a0<\/span><\/p>\n Genitourinary: The patient’s periods are irregular.<\/span>\u00a0<\/span><\/p>\n Musculoskeletal: No back or muscular discomfort. Psychiatric: There are no signs of depression or hallucinations.<\/span>\u00a0<\/span><\/p>\n Neurological: There is no tingling or dizziness.<\/span>\u00a0<\/span><\/p>\n Skin: Acne-free skin with no chin hair.\u00a0<\/span>\u00a0<\/span><\/p>\n Hematologic: There is no history of significant bleeding in the patient. There is no sweating, shivers, or fever.<\/span>\u00a0<\/span><\/p>\n Vital signs: <\/span><\/b>Wt., 90 kg. BMI 31, HR 86: BP 142\/82 RR 19: Pulse oximetry 99%: T 101.1.\u00a0<\/span>\u00a0<\/span><\/p>\n Diagnostic<\/span><\/b> findings: <\/span><\/b>Wound dimensions are 2cm x 1.5cm, with a depth of 2.5mm. Serosanguinous discharge from the right ball of the foot, as well as red wound margins. There was no monitoring and no edema. Erythema around the wound is mild.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Azziz, R. (2018). Polycystic Ovary Syndrome. Obstetrics & Gynecology, 132(2), 321\u2013336. https:\/\/doi.org\/10.1097\/aog.0000000000002698\u00a0<\/a><\/span>\u00a0<\/span><\/p>\n Chung, C. L., Paquette, M. R., & DiAngelo, D. J. (2021). Impact of a dynamic ankle orthosis on acute pain and function in patients with mechanical foot and ankle pain. Clinical Biomechanics, 83, 105281. <\/span>https:\/\/doi.org\/10.1016\/j.clinbiomech.2021.105281<\/span>\u00a0<\/span>Submission and Grading Information<\/strong><\/h3>\n
To submit your completed Assignment for review and grading, do the following:<\/strong><\/h3>\n
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A Sample Answer For the Assignment: NURS 6512 Assignment 2 Week 3: Digital Clinical Experience (DCE) Health History Assessment IN<\/strong><\/h2>\n
Title: <\/strong> NURS 6512 Assignment 2 Week 3: Digital Clinical Experience (DCE) Health History Assessment IN<\/strong><\/h2>\n
Identifying Data<\/span><\/b>\u00a0<\/span><\/h2>\n
General Survey<\/span><\/b>\u00a0<\/span><\/h2>\n
Subjective Data<\/span><\/b>\u00a0<\/span><\/h2>\n
Medications<\/span><\/b>\u00a0<\/span><\/h2>\n
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Allergies<\/span><\/b>\u00a0<\/span><\/h2>\n
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Medical History<\/span><\/b>\u00a0<\/span><\/h2>\n
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Health Maintenance<\/span><\/b>\u00a0<\/span><\/h2>\n
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Review of Symptoms (ROS)<\/span><\/b>\u00a0<\/span><\/h2>\n
Objective data<\/span><\/b>\u00a0<\/span><\/h2>\n
Differential Diagnosis<\/span><\/b>\u00a0<\/span>\u00a0<\/span><\/h2>\n
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References:\u00a0<\/span><\/b><\/h2>\n