COURSE
NURS 6512 Advanced Health Assessment and Diagnostic
NURS 6512 Week 4 Lab Assignment 1; Differential Diagnosis for Skin Conditions (SOAP Note for Differential Diagnosis)
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 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.
To prepare:
- Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this 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. NURS 6512 Week 4 Differential Diagnosis for Skin Conditions Assignment
- Download the SOAP Template found in this week’s Learning Resources.
To complete:
- 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.NURS 6512 Week 4 Differential Diagnosis for Skin Conditions Assignment
- 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 3 different references from current evidence based literature. NURS 6512 Week 4 Differential Diagnosis for Skin Conditions Assignment
Chapter 8 : Skin, Hair, and Nails
RTF-downloadable Physical Exam Summary
This review discusses examination of the skin, hair, and nails.
Before the exam, gather the necessary equipment: a clear, flexible centimeter ruler; flashlight with transilluminator; handheld magnifying glass; and Wood’s lamp.
To examine the skin, perform the following.
Use inspection and palpation to examine the skin. Make sure you have adequate lighting, preferably with daylight.
ANSWER
Skin Comprehensive SOAP Note
Patient Initials: M. I Age:51 Gender : M
SUBJECTIVE DATA:
Chief Complaint (CC): “swollen and redness of left leg.” graphic # 4
History of Present Illness (HPI): Mr. Mitchell 47 years old, Caucasian presents with swollen, pain, redness and expanding margins on LLE. Onset of symptoms started 2 days. Pt reports being bitten by an unknown insect while gardening. He reports that symptoms have become increasingly severe and he is fatigue.pt has been taking Tylenol 500 mg, 2 tablets TID for the past 3 days with no relieve. The reason he is seeking care is unrelieved pain and 101.9 temperature and chills last night. last Tylenol dose was last night.
Medications:
Carvedilol 12.5 mg BID Insulin Aspart 10 unit AM Lantus 24 units HS
Centrum men multivitamin 1 pill daily Tylenol 500mg TID
Allergies:
No food or latex allergy
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