NURS 6512 Week 4 Skin Conditions and their Differential Diagnoses

Skin Conditions and their Differential Diagnoses

Properly identifying the cause and type of a patient’s 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.

In this Discussion, 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.

Note: Your Discussion post should be in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance.Remember that not all comprehensive SOAP data are included in every patient case. NURS 6512 Week 4 Skin Conditions and their Differential Diagnoses

To prepare:

Review the Skin Conditions document provided in this week’s Learning Resources, and select two conditions to closely examine for this Discussion.
Consider the abnormal physical characteristics you observe in the graphics you selected. How would you describe the characteristics using clinical terminologies?
Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
Consider which of the conditions is most likely to be the correct diagnosis, and why.

By Day 3

Post a description of the two graphics you selected (identify each graphic by number). Use clinical terminologies to explain the physical characteristics featured in each graphic. Formulate a differential diagnosis of three to five possible conditions for each. Determine which is most likely to be the correct diagnosis, and explain your reasoning.

Read a selection of your colleagues’ responses. NURS 6512 Week 4 Skin Conditions and their Differential Diagnoses

By Day 6

Respond to at least two of your colleagues on two different days. Make sure that you respond to colleagues who selected at least one graphic that is different from the ones you selected. For each, address all of the following:

Critique your colleague’s clinical description of the physical characteristics of each.
Suggest an additional possible condition for each graphic, and explain your reasoning.
Provide an alternative correct diagnosis, and explain your reasoning.
Validate an idea with your own experience and additional research.

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NURS 6512 Week 4 Quiz

Question 1

Which of the following is a noncandidal fungal infection?

Question 2

Which of the following is an “ABCD” characteristic of malignant melanoma?

Question 3

A 5-year-old child presents with discrete vesicles on an erythematous base (dew drops on a rose petal appearance) that began near her scalp and are spreading to the trunk. The child has a low-grade fever and feels tired. What is the nurse’s next action?

Question 4

Cherry angiomas are a common finding in:

Question 5

The skin repairs surface wounds by:

Question 6

As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:

Question 7

Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4 ´ 3-cm, rough, elevated area of psoriasis. This is an example of a:

Question 8

Small, minute bruises are called:

Question 9

A 17-year-old student complains of a “rash for 3 days.” You note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a fernlike pattern with parallel alignment. What is the nurse’s next action?

Question 10

A 29-year-old white woman appears jaundiced. An etiology of liver disease has been excluded. What history questions should the nurse ask?

Question 11

A simian line seen in the palm of a small child may imply:

Question 12

The nurse inspects an annular lesion. What type of additional lighting source should be used for further assessment?

Question 13

The characteristic that best differentiates psoriasis from other skin abnormalities is the:

Question 14

Age spots are also called:

Question 15

The secretory activity of the sebaceous glands is stimulated by:

Question 16

A Dennie-Morgan fold is probably caused by:

Question 17

The most common cutaneous neoplasm is:

Question 18

Sally comes to your family practice clinic 24 hours after she lacerated her foot on an oyster shell. The wound is 4cm in length, shallow, and is on the sole of her foot. There is a small amount of bleeding on the dressing. She asks you to suture it closed because it keeps leaking blood. What is the best response?

Question 19

The rationale for suturing wounds includes:

Question 20

Wound infections are often cause by all of the following organisms except: