CASE STUDY # 2

CHEIF OF COMPLAIN: A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks.

SUBJECTIVE:She has been going on a daily basis to the local YMCA with children for Summer camp.

OBJECTIVE:

VS: (T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74

GENERAL: healthy-appearing female in no acute distress

HEENT: EYES: no injection, no increase in lacrimation or purulent drainage; EARS: normal TM: Normal

SKIN: CTA AP&L

NECK/ THOAT: mild edema with inflammation located on forearms, upper arms, and chest wall, thighs and knees; primary lesions are a macular papular rash with secondary linear excoriations on forearms and legs

Answer the following questions:

  1. What other subjective data would you obtain?
  2. What other objective findings would you look for?
  3. What diagnostic exams do you want to order?
  4. Name 3 differential diagnoses based on this patient presenting symptoms?
  5. Give rationales for your each differential diagnosis.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

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