NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report

NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report

NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report

Differential diagnosis is a method of diagnosis that accurately determines the cause and nature of a patient’s skin condition through an elimination process. A health care provider can use this process to gradually eliminate diagnoses until one is found to be the most likely reason for a set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms.

You will look at several illustrations of various skin conditions for this lab assignment, describe your findings, and use the methods of differential diagnosis to identify 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 Lab Assignment.
  • Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report
  • 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.
  • 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. NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report

Go to NURS 6521 Week 4 Discussion

Comprehensive SOAP Exemplar NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report

Purpose: To demonstrate what each section of the SOAP note should include.
Remember that Nurse Practitioners treat patients in a holistic manner and your SOAP note should reflect that premise.
Patient Initials: _______ Age: _______ Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65 year old Caucasian female
who presents today with a productive cough x 3 weeks and fever for the last three
days. She reported that the “cold feels like it is descending into her chest”. The
cough is nagging and productive. She brought in a few paper towels with
expectorated phlegm – yellow/brown in color. She has associated symptoms of
dyspnea of exertion and fever. NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report
Her Tmax was reported to be 102.4, last night. She
has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but
returns after the medication wears off. She rated the severity of her symptom
discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over the counter Ibuprofen 200mg -2 PO as needed
6.) Over the counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs – rash
Past Medical History (PMH)
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d
with outpatient antibiotics and an hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH): NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
NURS 6521 Walden Wk 4 Differential Diagnosis for Skin Conditions Lab Report