Assignment week 4

Differential Diagnosis for Skin Conditions

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.

Use this

Picture #4

SOAP must be fabricated.

Attached you can find the template to guide the job.

Use this history if you want and, add details.

”66 years old Hispanic patient present to ER with lower leg redness he noticed in the last 4 days ago. Right leg has erythema with some scaling measuring 15 cm X 12 cm. The are is swollen and appear warm to touch. The difference in the calf size with respect to the other calf is 0.8 cm.

Most Likely diagnosis : Cellulitis. Diffuse, acute, infection of the skin and subcutaneous tissuecaused by: Majority of cases caused by Streptococcus pyogenes or Staphylococcus aureus.

Why?

Differential diagnosis: Must be used and explained.

Acute lipodermatosclerosis

Contact dermatitis

Ectasis dermatitis

Eczematous dermatitis

References must be use. Add more to complete 5 updated references.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Chapter 9, “Skin, Hair, and Nails”

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2020). DeGowin’s diagnostic examination (11th ed.). New York, NY: McGraw Hill Medical.

· Chapter 6, “The Skin and Nails”

The Red Legs RATED tool to improve diagnosis of lower limb cellulitis in the emergency department (attached)