SOAP Evaluation
1. Sign and symptoms/Clinical presentation of disease process
a. How did your patient present: 62 y.o. white, female patient with past medical history of hypertension, diabetes mellitus, hypercholesterolemia, hypothyroidism, and obesity presented with chief complaint of a painful vesicular rash on her back down to her waist. “The rash is very painful. It’s a continuous stabbing, burning pain.” She rates the pain 8/10. Pt. reports self-medicating with NSAID, but it was ineffective. She reported that what she’s experiencing makes it difficult for her to perform her usual activities. She stated that the same area where the rash is located started out as red bumps about 3-4 days, ago. She denies fever, chills, nausea and vomiting.
…show more content…
& Edwards, H. (2013). Herpes zoster knowledge, prevalence, and vaccination rate by race. Journal of the American Board of Family Medicine, (26)1, 45-51. doi: 10.3122/jabfm.2013.01.120154
Kaye, K. (2016). Herpes zoster: shingles; acute posterior ganglionitis. Merck Manual. Retrieved from http://www.merckmanuals.com/professional/infectious-diseases/herpesviruses/herpes-zoster
Kennedy-Malone, L., Fletcher, K., & Martin-Plank, L. (2014). Herpes zoster. Advanced Practice Nursing in the Care of Older Adults, p.132. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780803641242/
Medscape. (2016). Herpes Zoster. Retrieved from http://emedicine.medscape.com/article/1132465-overview
Solomon, C., & Cohen, J. (2013). Herpes zoster. The New England Journal of Medicine, 369(3), 255-263. Retrieved from https://search-proquest-com.southuniversity.libproxy.edmc.edu/docview/1401480411?accountid=87314
Webmd. (2017). Impetigo. Retrieved from http://www.webmd.com/skin-problems-and-treatments/tc/impetigo-overview#1
Wilson, D. D. (2014). Herpes zoster: A rash demanding careful evaluation. The Nurse Practitioner, 39(5), 30-36.
Section 1: Identification of the unknown pathogen Patient is Terrance V. Haller, a 13-year-old male who enjoys outdoor activities such as skateboarding. No previous medical history and there are no known allergies. Terrance had a skateboarding accident where there were multiple lacerations and contusions. The wound on his forearm extending to his elbow was slow healing and therefore became pus producing. The patient has since returned to his primary care physician to find out what is going on.
Shingles also has other names such as Zoster, Herpes zoster, or Zona. It is a viral infection that causes a skin rash to the injured person. It is the same virus that infects person and causes him to chickenpox disease. There are some ways to treat people with Shingles disease, which has many symptoms that can evolve and become more dangerous if
Primary Diagnosis: Disorder of bone/cartilage. Secondary Diagnosis: Obesity. This was a Reconsideration- Disability Hearing Unit (DHU) case, stated his medical condition was worse than ever before.
Symptoms of HSE include: fever and headaches that can last up to a week, changes in behavior, seizures and hallucinations. Genital herpes (type 2 herpes), is caused by sexual interaction. Many people do not know they have the virus because there may be no symptoms or sores. For newborns, symptoms include: lethargy, seizures, irritability and poor feeding. Both meningitis and encephalitis are contagious and can be spread through contact of saliva, mucus and feces.
Overview Shingles is a painful rash that develops on a side of the face or body, it will form blisters that will scab over in around 7 to 10 days. Shingles or Herpes Zoster, its more scientific name, is common virus and it is caused by reactivation of the varicella zoster virus, which is the same virus that causes chicken pox. After a the chicken pox virus has been resolved it enter a dormant state in certain nerve cells of the body although for reasons not entirely clear the virus can awaken years later and will travel down the nerve path and cause shingles, the location of the rash depends on where the virus was dormant. Transmission
(Porth’s, 2014). TENS is the most serious of these diseases. In many cases, the papules and lesions appear to mimic SJS. Within a few days, there is large, widespread denuded areas. Lateral pressure may cause the surrounding skin to separate easily from the dermis.
A 52 year old patient was referred to hospital for widespread tense, serous fluid filled blisters with an inflammatory base in the skin. Discuss the integumentary assessment for this patient? Integumentary Assessment: An examination of the integumentary requires some understanding of the structure and function of the system. There also needs to be an awareness of the appearance of the skin in healthy and diseased states.
On March 15, 2016 at 4:34 am, I was notified by Elisha Smalls that she had discovered red spots on her arms and mid back and had an itch. The employee was instructed to leave the facility and see her physician as soon as possible and to follow-up regarding the visit. At 11:14am, the employee called back and stated she had chicken pox and was in contact a resident in ALF that had shingles. It was discovered that the employee di d work with the resident on 02/24/2016 and 02/25/2016.It was discovered on February 24, 2016; a resident in Assisted Living did exhibited signs and symptoms of possible shingles. The resident was seen by the Nurse Practitioner, Jody Eblen for a rash with pain, the resident was started treatment with antibiotics on
Have you ever wondered why some people breakout on their lips, inside their mouth, or even their private area ? The main reason is because they have a disease called herpes. Herpes Is a very dangerous disease because once you get them there is really nothing that you can actually do to get rid of them. For example, my oldest sister friend named Twanda had herpes. Little did she know that you could actually die from having this type of disease in any kind of way.
Dermatitis is an inflammation of the skin when the skin becomes dry, red, scaly, flaky, itchy, and can be blistered. The skin becomes hard, thickened and cracked, swelled, especially in the eyes, face, or groin areas. Skin can appear darkened or leathery, extreme itching and sun sensitive. The most vulnerable parts of the body are the hands, the forearms and face.
In conclusion, seborrhea dermatitis is conditions that can be promptly made do with an equalization of self-care and cured medicines. Patients experience change and flares discontinuously all through their illness course, which has a tendency to be unending. Variables, for example, hormones, qualities, exposures to chemicals, and anxiety would all be able to possibly trigger flares of seborrhea dermatitis. For general wellbeing, it is likewise critical to counsel with your doctor if you see any adjustments in your skin, for example, side effects suggestive of seborrhea
Other symptoms include nausea, vomiting, psychotic symptoms, peripheral neuritis, and emotional disturbances (Jagielska, Tomaszewicz-libudzic, and Brzozowska. 2007). Dermatitis usually presents in an erythematous rash, and may be especially severe in areas exposed to sunlight, with pigmentation and thickening of the skin. Heat and friction may make the rash worse. Pellagra is more common in people with risk factors for malnutrition such as those with anorexia nervosa, AIDS, chronic alcohol intake, and those living in poverty (Jagielska, Tomaszewicz-libudzic, and Brzozowska. 2007). There are at least two mechanisms in which niacin can alter brain function.
During the appointment, the doctor said I have scarlet fever. I had strawberry tongue, a red rash, and itchiness. She prescribed antibiotics. When my mom and I picked up the antibiotics, she noticed something
Troublesome itching associated with dermal Onchocerciasis makes working, studying, or interacting socially difficult. Onchocercal skin disease also diminishes peoples income generating capacity, and the school dropout rate is twice as high among children from households in which the head of the household is affected by onchocercal skin disease. Onchocerciasis is responsible for a considerable burden of disease, mainly because of visual impairment, blindness, disfiguring skin lesions, and severe itching, which are the results of continuous exposure to microfilariae.