Cs65 | Nursing homework help
CS65
Bella10- a month ago
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Case Study Week 2 Patient Profile
- Name: Sarah L., 32-year-old female
- Occupation: Teacher
- Chief Complaint: “My skin rash keeps getting worse and is really itchy.”
- Onset: 2 weeks
- Past Medical History: Mild seasonal allergies, no chronic illnesses
- Medications: None
- Social History: Lives with two cats, recently moved into an older home; no recent travel
- Family History: Mother—eczema; father—type 2 diabetes
History of Present Illness The patient reports a progressively worsening itchy rash on the palms, elbows, and behind the knees. Initially mild, the rash is now erythematous, dry, and starting to crack. She notes increased itching at night. Denies new soaps or detergents, but admits to using a new scented body lotion. Stress levels have been high due to work. Physical Examination
- Vitals:
o Temp 98.4°F o HR 78 bpm o BP 118/72 mmHg o RR 14
- Skin Exam:
o Erythematous plaques with silver-white scale on elbows o Lichenification in popliteal and antecubital fossae o Small fissures on palmar surfaces o No drainage, no signs of infection
- Nails:
o Mild pitting on fingernails
- Other Systems: Normal
Sample Lab Studies Note: Skin disorders are often clinical diagnoses, but labs help rule out infection/allergy or support alternatives.
CBC
Test Result Normal Range WBC 7.0 x10³/µL 4.5–11 Hemoglobin 13.4 g/dL 12–16 Platelets 280 x10³/µL 150–400 Eosinophils 7% (high) 0–5
ESR
Test Result Normal ESR 18 mm/hr 0–20 mm/hr
CRP
Test Result Normal CRP 0.9 mg/dL <1 IgE Level Test Result Normal IgE 250 IU/mL 0–100 IU/mL Skin Scraping (KOH prep)
- Negative for hyphae
INSTRUCTIONS FOR CASE STUDY
An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity. Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact. An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. In 1-2 pages, you will answer the questions provided following the case scenario. You must use current evidence-based resources to support your answers. Follow APA guidelines. Follow the grading rubric.
To prepare:
By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor. The Assignment Develop a 1- to 2-page case study analysis by answering the questions provided following the case scenario. Case Study Ensure that you follow the rubric closely. When the rubric calls for current, evidence-based sources, this means that they should be within the last 5 years. You should have at least 2 sources cited. The textbook does not count as one of the sources. The prompt is attached as a pdf. The following should be addressed in your 1-2 pages -