NURS 6512 Assignment Diagnosis for Skin Conditions
Walden University NURS 6512 Assignment Diagnosis for Skin Conditions-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6512 Assignment Diagnosis for Skin Conditions assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6512 Assignment Diagnosis for Skin Conditions
Whether one passes or fails an academic assignment such as the Walden University NURS 6512 Assignment Diagnosis for Skin Conditions depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6512 Assignment Diagnosis for Skin Conditions
The introduction for the Walden University NURS 6512 Assignment Diagnosis for Skin Conditions is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NURS 6512 Assignment Diagnosis for Skin Conditions
After the introduction, move into the main part of the NURS 6512 Assignment Diagnosis for Skin Conditions assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6512 Assignment Diagnosis for Skin Conditions
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6512 Assignment Diagnosis for Skin Conditions
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 6512 Assignment Diagnosis for Skin Conditions
SUBJECTIVE DATA:
Chief Complaint (CC): “My left thumbnail has been having a vertical split at the center for the last three months”
History of Present Illness (HPI): AD is a 34-year-old white male who presents with a vertical split on his left thumbnail. He states that it started four months ago. He reports he tends to habitually rub the thumb’s nail fold using the tip of the second digit. He also states that he has frequented a manicurist in the last four months who have been pushing back his cuticle during the manicure. His nail has a crack that extends laterally and looks like the branches of a fir tree. He denies erythema or warmth and no other fingernails are affected. The finger is painless.
Medications: None
Allergies: No known drug or food allergies.
Past Medical History (PMH):
- Tonsilitis
- Appendicitis
Past Surgical History (PSH):
- Tonsillectomy
- Appendectomy
Sexual/Reproductive History:
The patient is a heterosexual and he reports no reproductive issues or risky sexual behavior. He is married with one kid. He has no history of STIs.
Personal/Social History:
The patient is a real estate agent who lives with his wife and kid. Patient denies smoking, ETOH, or consuming any illicit substance. He states that he exercises three times a week and maintains a healthy diet.
Health Maintenance:
AD presents annually for a routine physical exam. He reports bloodwork 2 years ago at an annual exam.
Immunization History:
Immunizations up to date and had a flu vaccine two months ago. He had a Tdap in 2018.
Significant Family History:
Father alive 67 HTN, mother alive 60 healthy. He is the only sibling and he reports that his daughter is in good health with no significant health history.
Review of Systems:
General: The patient denies fever or chills, fatigue, or decreased appetite. He denies difficulty sleeping, night sweats, malaise, chills, or unexplained weight changes.
HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia, or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, and congestion. THROAT: Denies throat or neck pain, hoarseness, or difficulty swallowing.
Respiratory: The patient denies shortness of breath, cough, or hemoptysis.
Cardiovascular/Peripheral Vascular: The patient denies arrhythmia, chest pain, palpitations, heart murmur, or SOB.
Gastrointestinal: The patient denies abdominal pain or discomfort. He denies flatulence, nausea, vomiting, or diarrhea.
Genitourinary: Pt denies hematuria, dysuria, or change in urinary frequency. He denies difficulty starting/stopping a stream of urine or incontinence.
Musculoskeletal: Pt denies edema, weakness, or joint pain of extremities B/L.
Neurological: Denies headache and dizziness, LOC or history of tremors or seizures.
Psychiatric: Pt denies a history of anxiety or depression. He reports no sleep disturbance, delusions, or mental health history. He denied a suicidal/homicidal history.
Skin/hair/nails: The patient denies rash, petechiae, pruritus, or abnormal bruising/bleeding. He complains of a vertical split on his left thumbnail.
OBJECTIVE DATA:
Physical Exam:
Vital signs: Temp: 98.67 °F, Pulse: 85 and regular, BP: 118/79 mm hg left arm, sitting, regular cuff; RR 17 non-labored; Ht- 6’0”, Wt 170 lb, BMI 23.1.
General: AD is a well-groomed White male of well nutritional status who is cooperative and answers questions appropriately. Alert and oriented x 3.
HEENT: Normocephalic/atraumatic. Eyes: PERRLA. Conjunctiva pink with no scleral jaundice. Mouth: Moist mucosa, No lesions, inflammation, or exudate to the oral mucosa, tongue, or gum line. Ears: No lesions, scars, papules or nodules noted on the helix.
Neck: Supple and trachea midline. No thyromegaly
Chest/Lungs: Equal and bilateral chest rise, breathing unlabored with good respiratory effort no accessory muscle use. No tenderness on palpation of sternum, anterior or posterior thorax. resonant percussion over all lobes. Lung sounds clear on inspiration/expiration, anterior and posterior with no rhonchi, crackles, or wheezing with no areas of diminished breath sounds.
Heart/Peripheral Vascular: RRR. S1 and S2 are normal. No murmurs or bruits were noted. Chest non-tender, no visible heaves, and JVO non-elevated.
Abdomen: No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or organomegaly noted on palpation
Genital/Rectal: No bladder distention, suprapubic pain, or CVA tenderness.
Musculoskeletal: 2+ radial and dorsalis pulses. No edema, cyanosis, or clubbing was noted. The patient has a full ROM with no pain, swelling, or tenderness.
Neurological: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.
Skin/nails: Warm, dry, and intact. The patient has a feathered, central, longitudinal ridge with a fir tree pattern on his left thumb. He has transverse ridges, parallel and angled towards the nail fold. He also has macrolunulae.
ASSESSMENT:
Differential Diagnosis
- Median nail dystrophy- Refers to a split in the midline of the nail that starts from the cuticle. It affects the thumbs mostly and presents with a longitudinal groove in the central portion of the nail plate that starts at the proximal nail fold (Ball et al., 2019). The groove has small grooves that connect to it in an oblique fashion resulting in an inverse “fir-tree” pattern (Khodaee et al., 2020). It is caused by a temporary defect in the matrix that interferes with nail formation. Harsh trauma to the nail and recurrent self-inflicted trauma is the major cause of the disorder. The patient reports habitually rubbing his thumb’s nail fold using his index finger and visiting a manicurist who pushes his cuticle during a manicure. The presentation and the patient’s report confirm the diagnosis.
- Habit-tic deformity– It is also a form of nail dystrophy that is linked to habitual external trauma to the matrix. It affects the thumbs and presents as central depression and transverse, parallel ridging that runs from the nail fold to the distal edge of the nail (Sathyapriya et al., 2020). The transverse depression projects a “washboard” configuration. Some patients also report redness and swelling along the proximal nail fold (Dains et al., 2019). The diagnosis is ruled out because the current patient has a fir-tree pattern rather than transverse parallel ridges.
- Trachyonychia- Refers to rough nails. It can present as either opaque or shiny. In an opaque trachyonychia, the nail plate has longitudinal ridges while the nails appear opaque, rough, and with a “sandpapered” appearance (Sathyapriya et al., 2020). Shiny trachyonychia on other hand has numerous small pits with longitudinal and parallel lines. The nails have a shiny appearance. The disorder affects all the nails. It is ruled out because the patient does not record any presentation that can be said to be sandpapered or shiny.
- Subungual skin tumors- Refers to skin cancer that affects the skin under the nails. It results in brown-black discolorations of the nail bed that occurs as either a streak or irregular pigmentation (Sathyapriya et al., 2020). The discoloration usually progresses to thickening, splitting, or destruction of the nails. It is however accompanied by pain and inflammation. The current patient reports no pain or inflammation neither does he have any pigmentation ruling out the diagnosis.
Primary Diagnosis
- Median nail dystrophy
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Khodaee, M., Kelley, N., & Newman, S. (2020). Median nail dystrophy. CMAJ, 192(50), E1810-E1810. https://doi.org/10.1503/cmaj.201002
Sathyapriya, B., Chandrakala, B., Heba, A., & AnubharathyV, G. S. (2020). Deformities, Dystrophies, and Discoloration of the Nails. European Journal of Molecular & Clinical Medicine, 7(5), 2020. https://www.ejmcm.com/article_4114_44f01b00119c36ca34c67eea5116ed45.pdf
Sample Answer 2 for NURS 6512 Assignment Diagnosis for Skin Conditions
SUBJECTIVE DATA:
Chief Complaint (CC): “I have some stretch marks and a line on my abdomen’
History of Present Illness (HPI): A.T. is a 28-year-old female client that came to the clinic with complaints of abnormal stretch marks and a line on her abdomen. The client is pregnant. The gestation of her pregnancy is 28 weeks. She has never started her antenatal clinic visits. The patient reports that the problem started four weeks ago and she was hopeful that it would diminish over time. She denied any associated symptoms such as pain or itchiness. However, she was worried that she may be having a skin condition that would require immediate intervention. She has not used any skin medications for the problem.
Medications: The patient denied any current use of medications. She reported occasional use of Tylenol 1 gram for headaches.
Allergies: The patient reported allergic reaction to Penicillin and pollen. She denied food allergies.
Past Medical History (PMH): The patient reported a history of hospitalization when she was 18 years old because of pneumonia. She denied any history of chronic conditions such as diabetes and depression. She also denied any history of blood transfusion.
Past Surgical History (PSH): The patient denied any history of surgeries
Sexual/Reproductive History: The patient is sexually active. Her last menstrual period was 21/10/2022. She denied any history of sexually transmitted infections. She also denied any history of increased urgency, frequency, and dysuria. She does not have any history of pregnancy loss or use of contraceptives. She is heterosexual.
Personal/Social History: The patient is married. She is the first born in a family of three. Her parents are both alive. This is her first pregnancy. She works as an accountant in a local firm. She does not use alcohol or smokes. She engages in moderate physical activities twice weekly. She is a Christian. She considers her family her source of social support. She denies stress.
Health Maintenance: The patient engages in moderate exercises twice weekly. She does not take alcohol or smokes. She reports that she takes healthy diet. Her immunization record is up-to-date. She has not started her antenatal clinic despite her pregnancy being 28 weeks. She denies caffeine use. She has not undergone cervical cancer screening. She performs monthly self-breast examination. Her last dental and eye examinations were two years ago and were unremarkable.
Immunization History: Her immunization record is up-to-date.
Significant Family History: The client reports that her parents are both hypertensive. Her mother is diabetic. Her paternal grandmother and grandfather died of coronary artery disease. Her maternal grandmother died of cervical cancer. Her sister is obese. Her brother was recently diagnosed with substance use disorder.
General: The patient is well dressed for the occasion. She denied fatigue, fever, chills or night sweats. Reports weight gain of 10 pounds since she became pregnant.
HEENT: She denies changes in vision or hearing; she does wear glasses. She has no history of glaucoma, diplopia, floaters, excessive tearing or photophobia. She has had no recent ear infections, tinnitus, or discharge from the ears. She denied changes in sense of smell. She does not have a history of nasal polyps or recent sinus infection. She denied ulceration, lesions, gingivitis, gum bleeding, and has no dental appliances. She has had no difficulty chewing or swallowing.
Neck: She denies pain, injury, or history of disc disease or compression..
Breasts: She denies history of lesions, masses or rashes.
Respiratory: She denies cough, hemoptysis, difficulty breathing or chest pain. She a history of community acquired pneumonia when she was 18 years.
CV: She denies chest discomfort, palpitations, history of murmur. She has no history of arrhythmias, orthopnea, paroxysmal nocturnal dyspnea, edema, or claudication.
GI: She denies nausea or vomiting, abdominal pain. She also denies changes in bowel/bladder pattern.
GU: She denies change in her urinary pattern, dysuria, or incontinence. She is heterosexual. She denies history of STD’s or HPV. She is sexually active.
MS: She denies arthralgia/myalgia, arthritis, gout or limitation in her range of motion.
Psych: She denies history of anxiety or depression. She also denies sleep disturbance, delusions or mental health history.
Neuro: She denies syncope episodes or dizziness, paresthesia, change in memory or thinking patterns. She also denies twitches or abnormal movements, gait disturbance, falls or seizure history.
Integument/Heme/Lymph: She reports stretch marks and a line in the middle of her abdomen. She denies rashes, itching, or bruising.
Endocrine: She denies polyuria/polyphagia/polydipsia. She also denies fatigue, heat or cold intolerances, or shedding of hair
Allergic/Immunologic: She is allergic to Penicillin and pollen. She has no food allergies.
OBJECTIVE DATA
Physical Exam:
Vital signs: B/P 124/78, left arm, sitting, regular cuff; P 82 and regular; T 99.9 Orally; RR 20; non-labored; Wt: 168 lbs; Ht: 6’5
General: A&O x3, NAD
HEENT: PERRLA, EOMI, oronasopharynx is clear
Neck: Carotids no bruit, jugular venous distention or thyromegally
Chest/Lungs: Lungs clear of wheezing or rhonchi
Heart/Peripheral Vascular: RRR without murmur, rub or gallop; pulses+2 bilat pedal and +2 radial
ABD: presence of bilateral strae gravidarum and central linea nigra. Normal bowel sounds with no organomegaly and suprapubic
Genital/Rectal: Non-contributory
Musculoskeletal: symmetric muscle development. Muscle strengths 5/5 all groups.
Neuro: Normal cranial nerve assessment with no gait imbalance or coordination problems. There is no loss of sensitivity to touch.
Skin/Lymph Nodes: No edema, clubbing, or cyanosis; no palpable nodes
Diagnostic results: Obstetrics ultrasound performed one day ago: Intrauterine live pregnancy at 28/40 weeks in breech presentation. FHR-132 bpm, BPP 8/8, cervix closed
ASSESSMENT:
Differential Diagnosis
- Linea nigra: Linea nigra is a hyperpigmentation characterized by a vertical line running down the middle of the abdomen. It is an indicator of pregnancy.
- Strae gravidarum: Strae gravidarum refers to atropic linear scars that pregnant mothers develop. The form as stretch marks on the abdomen and diminish over time.
- Post-inflammatory hyperpigmentation: Post-inflammatory hyperpigmentation is a disorder that develops after skin injury or inflammation. It is severe in dark-skinned individuals. It improves spontaneously but can also require treatment for immediate changes (Lawrence & Al Aboud, 2023). It is the least likely condition since the patient in the case study is pregnant.
- Melanocytic naevi: Melanocytic nevi are benign hematomas or neoplasms that cause skin hyperpigmentation. It mainly affects the central nervous system and the skin. Melanocytic nevi are the least likely cause of the client’s problem since they do not occur in features such as midline vertical line that is seen in pregnancy (Yeh, 2023)
Primary diagnosis
- Normal pregnancy with features that include linea nigra and strae gravidarum: The client’s primary diagnosis is normal pregnancy with features that include linea nigra and strae gravidarum. Linea nigra is a normal occurrence in pregnant women. It refers to a form of hyperpigmentation that is witnessed in pregnancy. It is a dark vertical line running down the middle of the abdomen. It is an indicator of pregnancy. Linea nigra is associated with nipple, genital areas, and areola hyperpigmentation (Cappanera, 2022; Ferrando et al., 2019; Sharma et al., 2019). Strae gravidarum refers to atrophic linear scars that develop on the abdomen during pregnancy. They appear as stretch marks that may be of considerable concern to pregnant women (Dai et al., 2021). Strae gravidarum is non-pathological. The stretch marks fade over time and become hypopigmented (Karhade et al., 2021). The patient in the case study has these features, hence, a diagnosis of linea nigra and strae gravidarum. The patient is also pregnant, hence, the primary diagnosis with these conditions.
PLAN: This section is not required for the assignments in this course (NURS 6512), but will be required for future courses.
References
Cappanera, F. F., Gisella Sorrentino, Elena. (2022). Linea Nigra: Post/Human M/Others. In Engaging Donna Haraway. Routledge.
Dai, H., Liu, Y., Zhu, Y., Yu, Y., & Meng, L. (2021). Study on the methodology of striae gravidarum severity evaluation. BioMedical Engineering OnLine, 20(1), 109. https://doi.org/10.1186/s12938-021-00945-w
Ferrando, B. F., Sorrentino, G., & Cappanera, E. (2019). Linea Nigra: Post|Human M|Others. A/b: Auto/Biography Studies, 34(3), 501–505. https://doi.org/10.1080/08989575.2019.1664152
Karhade, K., Lawlor, M., Chubb, H., Johnson, T. R. B., Voorhees, J. J., & Wang, F. (2021). Negative perceptions and emotional impact of striae gravidarum among pregnant women. International Journal of Women’s Dermatology, 7(5, Part B), 685–691. https://doi.org/10.1016/j.ijwd.2021.10.015
Lawrence, E., & Al Aboud, K. M. (2023). Postinflammatory Hyperpigmentation. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK559150/
Sharma, A., Jharaik, H., Sharma, R., Chauhan, S., & Wadhwa, D. (2019). Clinical study of pregnancy associated cutaneous changes. International Journal of Clinical Obstetrics and Gynaecology, 3(4), 71–75. https://doi.org/10.33545/gynae.2019.v3.i4b.292
Yeh, I. (2023). Melanocytic naevi, melanocytomas and emerging concepts. Pathology, 55(2), 178–186. https://doi.org/10.1016/j.pathol.2022.12.341
Sample Answer 3 for NURS 6512 Assignment Diagnosis for Skin Conditions
SUBJECTIVE DATA:
Chief Complaint (CC): Number 4: “I have had a nasal congestion alongside itching that has occurred for the last five days . ”
History of Present Illness (HPI): The patient, M.S is 5o years of age and presented to the clinic complaining of having congested noses, sneezing, rhinorrhea, itching nose and ears, postnasal discharge, which symptoms have occurred for the last 5 days. Apparently, the patient employed the usage of Mucinex drug so as to help him with the breathing difficulty he was having. The patient reported that the medicine did not have any adverse effects on him but its effectiveness was minimal. The patient also did not report having any headache of pain.
Medications: The patient uses an over the counter medication called Mucinex, at 1 tab daily using the oral route.
Allergies: The patient did not accept having food or drug allergy. However, he reported the presence of seasonal allergies.
Past Medical History (PMH): He denied having been hospitalized or undergone blood transfusion before.
Past Surgical History (PSH): Has never undergone surgery.
Sexual/Reproductive History: He has never suffered from STIs, urinary incontinence, UTIs, or impotence.
Personal/Social History: The client has a wife and two children. He has not smoked since 2013. He is a social drinker. Has a university degree in BA and is employed as a supermarket manager in his locality. The disease interfered with his sleeping patterns.
Health Maintenance: He stated that he actively participates in physical activity.
Immunization History: Up-to-date immunization data.
Significant Family History: Both parents alive. The father is diabetic, which diagnosis occurred on 2017. The mother is hypertensive since 2019. The parents have three children and the patient is the last born of them. All the siblings are alive.
Review of Systems:
General: The patient was well-groomed. His orientation to self, time, and place was perfect. He did not accept having chills, fever or fatigue. He stated that the lack of sleep that he had caused him to be tired, which was secondary to the issue he was having.
HEENT: Denied the presence of headache. Reported itchy eyes. The eyes were also red. Vision remained the same. Intact tympanic membranes reported. Denied drainage of ears or hearing alterations. Reported that the nose was itchy. Presence of nasal congestion reported. Reported the presence of nasal mucosa that was boggy. The nasal discharge was clear but the turbinates were enlarged. Denied having tonsillitis. The throat showed mild erythema.
Respiratory: No significant issue as the trachea was in a midline position sans lymphadenopathy.
Cardiovascular/Peripheral Vascular: The patient did not have palpitations, chest pain, or edema, or discomfort.
Gastrointestinal: The patient denied vomiting, nausea, abdominal distention, as well as diarrhea.
Genitourinary: The patient did not report polyuria, oliguria, frequent urination, or dysuria.
Musculoskeletal: The patient did not report the presence of muscle/joint pain.
Neurological: The patient reported not having changes in gait, headache, body imbalance, as well as loss of sensations.
Psychiatric: The patient’s family did not have psychiatric illnesses.
Skin/hair/nails: The patient did not have any skin rash, alterations in skin color, or itching.
OBJECTIVE DATA:
Physical Exam:
Vital signs: BP 109/78 P-80 Temp 37.5 RR-20 Weight 59 kg Height 6’2 BMI 24.8
General: The patient did not have any signs of distress. He was perfectly oriented.
HEENT: The patient’s eyes were red. His vision acuity was normal without eye drainage or pallor. Intact tympanic membranes present. Hearing did not have changes. Boggy and pale nasal mucosa present. Nasal turbinates were slightly elongated but the nasal drainage was clear. Tonsilities not present. Mildly erythematous throat seen.
Neck: Carotids did not have bruit, thyromegally or jvd
Chest/Lungs: Normoactive lung sounds. Respiratory muscles inactive during breathing.
Heart/Peripheral Vascular: RRR did not have murmur, gallop or rub
Abdomen: Absence of abdominal distention. Presence of normal bowel movements. Organomegally absent.
Genital/Rectal: Declined by the patient.
Musculoskeletal: Symmetry in muscle development without noticeable abnormal fractures or gait.
Neurological: Absence of loss of sensation, muscle paralysis, as well as movements
Skin: No clubbing, cyanosis, edema; no palpable nodes
Diagnostic results: Positive skin test to pollen
ASSESSMENT:
Differential Diagnosis
Allergic Rhinitis: Allergic rhinitis appears to as the first differential diagnosis for the chosen patient. The presence of an allergen may result to the manifestation of allergic rhinitis. The symptomatology of the condition is inclusive of nasal congestion, rhinorrhea, itchy eyes, and sneezing (Bousque et al., 2020). Regarding the patient, these symptoms occurred as a result of the IgE mediated reactions versus the seasonal allergens affecting the patient. Its primary diagnosis was based on the positive skin test that was conducted.
Non-allergic rhinitis: The patient could also be suffering from non-allergic rhinitis. The patients having this condition also share similarities in the symptomatology with the primary diagnosis.
(Zheng Ming et al., n.d.). This forms the least possible options due to the presence of seasonal allergic reaction history.
Sinusitis: Sinusitis connotes a condition that is characterized by inflammation of the paranasal sinuses. The condition is caused by various factors including allergic reactions, bacterial or viral infections, and fungal. The symptoms of sinusitis include headache, facial pain, nasal congestion, fever, and rhinorrhea (Psillas et al., 2021). However, sinusitis is the slightest condition because it lacks signs and symptoms linked to infections.
Flu/Common Cold: The other possible diagnosis is common cold which is an acute viral respiratory infection that affects the upper part of the respiratory system. It impacts sinuses, and the pharynx. Flu symptoms include nasal drainage, malaise, headache and fever (Thomas & Bomar, 2021). However, there are no signs and symptoms in this case.
Sore Throat: Sore throat is also a possible diagnosis for the patient. Sore throat entails pain when swallowing in the pharynx. It is main a viral infection (Taymaz et al., 2021). However, the possibility of sore throat is the least in this case since the patient does not present any signs and symptoms.
PLAN: This section is not required for the assignments in this course (NURS 6512), but will be required for future courses.
References
Bousquet, J., Schünemann, H. J., Togias, A., Bachert, C., Erhola, M., Hellings, P. W., … & Its Impact on Asthma Working Group. (2020). Next-generation Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and real-world evidence. Journal of Allergy and Clinical Immunology, 145(1), 70-80. https://doi.org/10.1016/j.jaci.2019.06.049
Psillas, G., Papaioannou, D., Petsali, S., Dimas, G. G., & Constantinidis, J. (2021). Odontogenic maxillary sinusitis: A comprehensive review. Journal of Dental Sciences, 16(1), 474-481. https://doi.org/10.1016/j.jds.2020.08.001
Scadding, G. K., Kariyawasam, H. H., Scadding, G., Mirakian, R., Buckley, R. J., Dixon, T., … & Clark, A. T. (2017). BSACI guideline for the diagnosis and management of allergic and non‐allergic rhinitis (Revised Edition 2017; 2007). Clinical & Experimental Allergy, 47(7), 856-889. https://doi.org/10.1111/cea.12953
Taymaz, T., Ergönül, Ö., Kebapcı, A., & Okyay, R. (2018). Significance of the detection of
influenza and other respiratory viruses for antibiotic stewardship: lessons from the post-pandemic period. International Journal of Infectious Diseases, 77, 53-56. DOI:https://doi.org/10.1016/j.ijid.2018.10.003
Thomas, M. & Bomar, P. A. (2021). Upper Respiratory Tract Infection. StatPearls [Internet].
https://www.ncbi.nlm.nih.gov/books/NBK532961/
Photo Credit: Getty Images/iStockphoto
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 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.
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NURS 6512 Abdomen and Gastrointestinal System
NURS 6512 Functional, Cultural and Diversity Awareness in Health
NURS 6512 Building a Comprehensive Health History
NURS 6512 TJ Pregnant Lesbian Essay
NURS 6512 Health History of Tina Jones
NURS 6512 Discussion Week 1 Main Post
NURS 6512 Assignment 2 Focused Exam
NURS 6512 Practice Assessment Skin, Hair, and Nails Examination
NURS 6512 Digital Clinical Experience
NURS 6512 Tools and Diagnostic Tests in Adults and Children
NURS 6512 Episodic/Focused SOAP Note Template
NURS 6512 Discussion Episodic/Focused SOAP Note
NURS 6512 Discussion Adolescent Patients
NURS 6512 Effective communication is required needed in any patient-healthcare provider interaction
NURS 6512 Primary care is a critical aspect of patient care
NURS 6512 Cultural beliefs played a key role in patient health
NURS 6512 Research the health-illness continuum and its relevance to patient care
NURS 6512 discuss the relevance of the continuum to patient care
NURS 6512 Cultural and linguistic competence
NURS 6512 Health assessment of the skin, hair and nails
NURS 6512 The abdomen and the gastrointestinal system Assignment
NURS 6512 Congestive Heart Failure
NURS 6512 Acute Lateral Ankle Sprain
NURS 6512 Bilateral Ankle Pain
NURS 6512 Discussion Categories to Differentiate Knee Pain
NURS 6512 Assessing The Neurologic System
NURS 6512 Comprehensive Physical Assessment
NURS 6512 ethical dilemmas Assessment
NURS 6512 History of Present Illness (HPI)
NURS 6512 provision of quality and effective healthcare services to the diverse population
To Prepare
• Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
• Consider the abnormal physical characteristics you observe in the graphic 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.
• Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
• Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
• Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.
The Lab Assignment
• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. 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.
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• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.
By Day 7 of Week 4
Submit your Lab Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
• Please save your Assignment using the naming convention “WK4Assgn1+last name+first initial.(extension)” as the name.
• Click the Week 4 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
• Click the Week 4 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn1+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 4 Assignment 1 Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 4 Assignment 1 draft and review the originality report.