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Pages:
2 pages/β‰ˆ550 words
Sources:
3 Sources
Style:
APA
Subject:
Literature & Language
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 7.2
Topic:

Nursing Described In The Case Are Characteristic

Case Study Instructions:

Select one of the scenarios and consider the skin disorder and underlying alteration associated with the type of rash described. Identify the pathophysiology of the alteration associated with the skin lesion and itching. Consider the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors selected might impact the disorder.
Consider the following scenarios:
Case #1
A 25-year-old woman presents with a complaint of rash that has developed over the past several weeks and seems to be progressing. On examination, she is noted to have several plaque-like lesions over the extensor surfaces of both upper and lower extremities as well as similar lesions on her scalp. The plaques are erythematous, with silvery scales, and are sharply marginated.
Case #2
A 30-year-old woman presents to the clinic complaining that she has “an itchy rash all over the place.” She noticed that her legs became red, itchy, and blistered about two days after she had been hiking in a heavily wooded area. She says that scratching broke the blisters and afterward the rash became much worse and spread all over. She is convinced that the rash could not be poison ivy because once before she was exposed to that plant and did not develop a rash. On examination, there are erythematous vesicles and bullae in linear streaks on both of her legs. Some areas are weepy, with a yellowish crust. There are ill-defined erythematous plaques studded with papulovesicles on the trunk and arms.
Case #3
A 52-year-old African American man presents to the clinic with a rash that has been worsening for several months. Review of systems is notable for a chronic cough. Examination reveals multiple red-brown dermis-based papules on the trunk, arms, and face. Several lesions are clustered near the nares. The examination is otherwise unremarkable.
Case #4
A 27-year-old woman presents to the urgent care clinic complaining of a red, itchy rash developing suddenly the day before on her arms and legs and spreading to the trunk. She denies ulcers in the mouth or genital area. Her medical history is unremarkable except for occasional episodes of genital herpes. The most recent outbreak was approximately two weeks ago. She generally takes oral acyclovir on such occasions, but her prescription has run out, and so she did not take any with her last bout. On physical examination, she has multiple erythematous papules over the arms, legs, and trunk. Many of the papules have a central area of duskiness or clearing, such that the lesions resemble targets. There is no evidence of mucosal involvement.
To complete this assignment:
Select one case above for discussion.
Identify the case in the initial post. Do not repeat the case verbatim the initial post.
Identify the most likely condition that best explains the patient's rash.
Describe and explain the pathophysiologic process for the eruption of the patient's presenting signs and symptoms.
Describe the usual clinical manifestations associated with the condition.
Identify the causes of the condition and risk factors if applicable.
Consider the following patient factors genetics, gender, ethnicity, age, or behavior.
Select two patient factors and discuss the influence of the factors chosen on the disorder.

Case Study Sample Content Preview:

Case Study
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Institution
Case Study
The most likely skin condition in case 1 is psoriasis. The lesions described in the case are characteristic of psoriasis vulgaris. Psoriasis Vulgaris characterizes itself through sharply marginated, erythematous, scaly papules and papules with silvery white scales on the exterior surfaces of the extremities, scalp or presacral skin, which marches the complaints of the 25-year-old woman (Lowes et al., 2008). Psoriasis occurs as a result of a faulty immune system involving T cell which is a type of white blood cells. T cells protect the body from diseases. However, in psoriasis, the cells become over that they trigger more immune responses which result in overproduction of skill cells.
For psoriasis to erupt, the usual period of the keratinocyte cell shortens and the proliferative cell population doubles. The excessive epidermatopoiesis leads to thickening of the skin and formation of plaque. Apart from skin thickening, there is a truncation of the cell cycle, which results in cell accumulation within the cornified layer with retained nuclei. The process leads to neutrophil migration into the cornified layer (Queiro, Tejón, Alonso, & Coto, 2013). The usual clinical manifestation of psoriasis vulgaris is lesions which are well distributed, round, red papules of plaques with silvery-white dry scale (Lew, Bowcock, & Krueger, 2004). Also, the wounds are distributed proportionally on the scalp, elbows and knew or an area that has been directly affected by trauma or injury.
Psoriasis is associated with overproduction of MHC class 1 gene products which involves the CD8 T lymphocytes. Together they create the silvery scale manifested in psoriasis (Lew, Bowcock, & Krueger, 2004). The silvery scales are formed by an outer layer of the skin cells which sheds but becomes replaced in about three to five days which is faster than the normal twenty-eight to thirty days. Since skin cells grow more rapidly than they are shed, they build upon the outer skin layer forming the silvery scales (Queiro, Tejón, Alonso, & Coto, 2013). In the end, psoriasis generates endothelial cell proliferation which l...
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