Differential Diagnosis for Skin Conditions<\/p>\n
Differential Diagnosis for Skin Conditions<\/p>\n
Properly 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.
\nIn 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.
\nNote: 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.
\nTo prepare:
\n\u00b7 Review the Skin Conditions document provided in this week\u2019s Learning Resources, and select two conditions to closely examine for this Discussion.
\n\u00b7 Consider the abnormal physical characteristics you observe in the graphics you selected. How would you describe the characteristics using clinical terminologies?
\n\u00b7 Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
\n\u00b7 Consider which of the conditions is most likely to be the correct diagnosis, and why.
\nA 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.
\nREMINDERS:<\/p>\n
Please follow the Note above. Do SOAP note format and check it out on the uploaded file the SOAP template as your outline for your writings\u2026 No traditional essay on this assignment, again use SOAP note. Thank you.<\/p>\n
Required Resources
\nNote: Because the information in this course is so vital, a large number of resources are provided in various formats to facilitate your competence in diagnosing a wide variety of health conditions. When multiple resources are available on the same topic, select those that best meet your personal learning needs to prepare you to accurately diagnose patient health problems.<\/p>\n
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
\nReadings<\/p>\n
\u00b7 Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
\no Chapter 8, \u201cSkin, Hair, and Nails\u201d (pp. 114-165)<\/p>\n
This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.
\n\u00b7 Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
\no Chapter 28, \u201cRashes and Skin Lesions\u201d (pp. 325-343)<\/p>\n
This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.
\nNote: Download and use the Adult Examination Checklist and the Physical Exam Summary when you conduct your video assessment of the skin, hair, and nails.
\n\u00b7 Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for skin, hair, and nails. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
This Adult Examination Checklist: Guide for Skin, Hair, and Nails was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https:\/\/evolve.elsevier.com\/
\n\u00b7 Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Skin, hair, and nails physical exam summary. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
This Skin, Hair, and Nails Physical Exam Summary was published as a companion to Seidel’s guide to physical examination(8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https:\/\/evolve.elsevier.com\/
\n\u00b7 Chadha, A. (2009). Assessing the skin. Practice Nurse, 38(7), 43\u201348.<\/p>\n
Retrieved from the Walden Library databases.<\/p>\n
In this article, the author explains how to take a relevant skin health history. In addition, the article defines common terms used to describe skin lesions and rashes.
\n\u00b7 Ely, J. W., & Stone, M. S. (2010). The generalized rash: Part I. Differential diagnosis. American Family Physician, 81(6), 726\u2013734.<\/p>\n
Retrieved from http:\/\/www.aafp.org\/afp\/2010\/0315\/p726.html<\/p>\n
This article focuses on common, uncommon, and rare causes of generalized rashes. The article also specifies tests to diagnose generalized rashes.
\n\u00b7 Ely, J. W., & Stone, M. S. (2010). The generalized rash: Part II. Diagnostic approach. American Family Physician, 81(6), 735\u2013739.<\/p>\n
Retrieved from http:\/\/www.aafp.org\/afp\/2010\/0315\/p735.html<\/p>\n
This article revolves around the diagnosis of generalized rashes. The authors describe clinical features that may help in distinguishing generalized rashes.
\n\u00b7 Everyday Health, Inc. (2013). Resources for dermatology and visual conditions. Retrieved fromhttp:\/\/www.skinsight.com\/ info\/for_professionals<\/p>\n
This interactive website allows you to explore skin conditions according to age, gender, and area of the body.
\n\u00b7 Document: Skin Conditions (Word document)<\/p>\n
This document contains five images of different skin conditions. You will use this information in this week\u2019s Discussion.
\n\u00b7 Document: Comprehensive SOAP Exemplar (Word document)
\n\u00b7 Document: Comprehensive SOAP Template (Word document)
\nMedia<\/p>\n
Online media for Seidel’s Guide to Physical Examination
\nIn addition to this week’s media, it is highly recommended that you access and view the online resources included with the course text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapter 8 that relate to the assessment of the skin, hair, and nails.
\nThe following suturing tutorials provide instruction on the basic interrupted suture, as well as the vertical and horizontal mattress suturing techniques:
\n\u00b7 Tulane Center for Advanced Medical Simulation & Team Training. (2010, July 8). Suturing technique.Retrieved from https:\/\/www.youtube.com\/watch?v=c-LDmCVtL0o
\n\u00b7 Mikheil. (2014, April 22). Basic suturing: Simple, interrupted, vertical mattress, horizontal mattress. Retrieved from https:\/\/www.youtube.com\/watch?v=MFP90aQvEVM
\nOptional Resources
\n\u00b7 LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). DeGowin\u2019s diagnostic examination (9th ed.). New York, NY: McGraw Hill Medical.
\no Chapter 6, \u201cThe Skin and Nails\u201d<\/p>\n
In this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions.
\n\u00b7 Ethicon, Inc. (n.d.a). Absorbable synthetic suture material. Retrieved fromhttp:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/absorbable_suture_chart.pdf
\n\u00b7 Ethicon, Inc. (2006). Dermabond topical skin adhesive application technique. Retrieved fromhttp:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/db_application_poster.pdf
\n\u00b7 Ethicon, Inc. (2001). Ethicon needle sales types. Retrieved fromhttp:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/needle_template.pdf
\n\u00b7 Ethicon, Inc. (n.d.b). Ethicon sutures. Retrieved fromhttp:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/suture_chart_ethicon.pdf
\n\u00b7 Ethicon, Inc. (2002). How to care for your wound after it’s treated with Dermabond topical skin adhesive. Retrieved fromhttp:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/db_wound_care.pdf
\n\u00b7 Ethicon, Inc. (2005). Knot tying manual. Retrieved fromhttp:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/knot_tying_manual.pdf<\/p>\n
\u00b7 Ethicon, Inc. (n.d.c). Wound closure manual. Retrieved fromhttp:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/ethicon_wound_closure_manual.pdf<\/p>\n","protected":false},"excerpt":{"rendered":"
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