1. What specifically would you assess for on physical exam? How would you document the lesions?
It is important when doing an assessment to gather as much information as possible in order to attain the appropriate diagnosis and treatment for the patient (Watkins, 2014). Knowing when the lesions first appeared and whether they have altered themselves as well as if there are any associated symptoms can allow the healthcare practitioner to have confidence in their diagnosis. Asking the patient if they have been recently ill or been prescribed any new medications, tried any new foods, detergents or cosmetics can aid the healthcare practitioner in eliminating certain rashes such as contact dermatitis or hives. Knowing if there has been any correlation …show more content…
Patient has multiple lesions with the newest appearing above her left eyebrow and right upper lip. Patient states rash began as an itchy, vesicular rash. The size of the lesions are medium to small. The annular ring of the lesion is erythematous with a scaled flesh colored center. The borders are well-demarcated with a slightly raised ring.
2. What are three possible differential diagnoses for R.H., in order of most to least likely? Rationale?
1) Ringworm (tinea corporis) is a fungal infection that appears as itchy, red, scaly, slightly raised rings on the body (Watkins, 2014). The ring grows outward as the infection spreads and the center becomes less actively infected. Ringworm is contagious and is spread through skin to skin contact thus explaining the new lesions on her eyebrow and lip.
2) Granuloma annulare forms lesions with reddish bumps that gradually disappear as an annular lesion forms. Most typically found on the back of forearms, hands, knees or feet that is centered around joints or knuckles but can appear anywhere on the body (Watkins, 2014). The rash may burn or be itchy.
3) Erythema annulare centrifugum forms small erythemateous papules which enlarge to form annular lesions with central clearing and can be itchy (Watkins,
It is important when doing an assessment to gather as much information as possible in order to attain the appropriate diagnosis and treatment for the patient (Watkins, 2014). Knowing when the lesions first appeared and whether they have altered themselves as well as if there are any associated symptoms can allow the healthcare practitioner to have confidence in their diagnosis. Asking the patient if they have been recently ill or been prescribed any new medications, tried any new foods, detergents or cosmetics can aid the healthcare practitioner in eliminating certain rashes such as contact dermatitis or hives. Knowing if there has been any correlation …show more content…
Patient has multiple lesions with the newest appearing above her left eyebrow and right upper lip. Patient states rash began as an itchy, vesicular rash. The size of the lesions are medium to small. The annular ring of the lesion is erythematous with a scaled flesh colored center. The borders are well-demarcated with a slightly raised ring.
2. What are three possible differential diagnoses for R.H., in order of most to least likely? Rationale?
1) Ringworm (tinea corporis) is a fungal infection that appears as itchy, red, scaly, slightly raised rings on the body (Watkins, 2014). The ring grows outward as the infection spreads and the center becomes less actively infected. Ringworm is contagious and is spread through skin to skin contact thus explaining the new lesions on her eyebrow and lip.
2) Granuloma annulare forms lesions with reddish bumps that gradually disappear as an annular lesion forms. Most typically found on the back of forearms, hands, knees or feet that is centered around joints or knuckles but can appear anywhere on the body (Watkins, 2014). The rash may burn or be itchy.
3) Erythema annulare centrifugum forms small erythemateous papules which enlarge to form annular lesions with central clearing and can be itchy (Watkins,