Exam (elaborations) NR 507 PATHOPHYSIOLOGY WEEK 6 TD2 Dermatologic and Musculoskeletal Disorders Discussion Part Two

Week 6: Dermatologic and Musculoskeletal Disorders - Discussion Part Two Loading... This week's graded topics relate to the following Course Outcomes (COs). 1 Analyze pathophysiologic mechanisms associated with selected disease states. (PO 1) 2 Differentiate the epidemiology, etiology, developmental considerations, pathogenesis, and clinical and laboratory manifestations of specific disease processes. (PO 1) 3 Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions. (PO 1, 7) 4 Distinguish risk factors associated with selected disease states. (PO 1) 5 Describe outcomes of disruptive or alterations in specific physiologic processes. (PO 1) 6 Distinguish risk factors associated with selected disease states. (PO 1) 7 Explore age-specific and developmental alterations in physiologic and disease states. (PO 1, 4) Discussion Discussion Part Two (graded) Responses Lorna Durfee 6/5/2016 8:06:15 PM Discussion Part Two Jwoehenkn ayg ios bau 5t -hyaeas rn-ootl dr eAssoilavne db.o yH we hhoa si sb beeronu bglhotw tion ag fhaims niloy sperqauctiitcee f roefqfiuceen wtliyt ha nad “ “rusonrneys”” nhoasvee tdheavt esltoapretedd a arboouuntd 1 h is lnoooskes. lHikies “mdoritehde rm sataptlees s, y“rTuhpe” sbourte cs osntatirnteude sa sto ‘ bsiege pblaisntder dsr’athina.t” r uSphteu irse ;w soormrieetdi mbeecs,a au ssec athbe floersmiosnsw aitrhe an ocwru astl stoh aotn ahissy mfoprteoamrmat.i c J. o Thnhne yp’hs ypsaicsat lm eexdaimcainl aatniodn f awmaisl yu hnirsetmoraireksa abrlee neoxrcmepatl .f o Hr me hoadse rbaeteen, pfuebrurilleenbt urth iisn ootrhrehrewai saen d 0.5- to 1n-oc rme gdiioanmael tleyrm wpeheapdienngo pleastihoyn. s around the nose and mouth and on the radial surface of the right forearm. There is cWlirniitcea al dpirfefeserenntatitaiol no fa abto lveea. sRt efimvee m(5b)e pr,o tsos ilbislet tdhiea gdnifofesrise’nst iaanld i ne xthpela oinrd heorw o fe macohs tm liakye lbye t oa lpeossss liibkleel ya.n swer to the Based upon what you have at the top of the differential how would you treat this patient? Differential diagnosis for this clinical presentation and justify it. When would you allow the student back to school? Elaborate on your reasoning. Doctor Brown: cWoimthp lmaiyn tesx. p Heroiewnecvee ars, Ia dsicshtionoclt lnyu rresme aenmdb perh yas picaartli tcrualianre sr,t uId heanvte w sheoen e xmhainbyit esdtu tdheen stisg cnosm abe otov et haen dc lsinyimc pwtoitmh sv asirmioiulas r to these. Differential Diagnoses: #1 Impetigo #2 Molluscum Contagiosum #3 Rubella #4 Chicken pox #5 Hand, foot and mouth disease Differential Diagnoses: aTsh sism paaltli venest iecxlehsi baintsd tbhuer ssitg tnhse na nhda vsey mhopntoemy-sc oolfo irmedp esteirguom. .H Ye ealplopwea tros twoh hiatev-eb rnoownn-b ourl ltoauns cirmuspte dtiegvoe. l oTphse, abnlids tiet rlso sotkasr t lMikceC iat nisc ec,o Hatueedt hweirt,h a hnodn Beyra osrh ebrr o(2w0n1 4su) gtealrl. uHse t hhaats tahlel tchreu ssti gisn sth aen idd esnytmifpytionmg sf atchtaotr a wrei tpha ar tm oof itshte b baascet tehraiat lw inefeepcst iwonh.e n thhaen dscsa cba nis bree minovvoeldv etdh aatn idd eenxttirfeiemsi itmiesp.e tTighoe.r eT hise nboli lsytemrsp hcaand ebnei toisn ( tMhec Cfaacnec aen edt tahl.e, n2o0s1e4,, bpu. t1 o6t5h6e)r. a rIef aws es uccohm apsa trhe ei t to t(hsue cdhi fafse rceonltdia slo drieasg annods ifse ovfe rt hbel ihsteerrpse)s. sHimowpleevxe vr,i rtuhse,r ew me ucastn bsee ec othnatat cHt SwVit-h1 siasl itvhae. t yWpeit hth taht iisn idnufceecsti oonra, lt hinef vecirtuiosn awfiftehc tcsl ucsetlelsrs o afn tdh ep aeipnifthuel lviuemsic alensd (roenm maionust hth, etroen ignu eth aen ddo arsroalu nrodo tth gea nnogslieo)n. wBuhrenrein igt iasn lda tpeanrte. s tThheessiaes l eoscicounrs b perfeosreen t foantsigeut.e Tcahne cvaeusiscel erse arcutpivtuarteio ann (dM focrCma nac cer, uHstu.e tHheorw &ev eBr,r athshee lress,i 2o0n1s 4la, spt. f1o6r 326 t)o. 6T hwee pekress. e Snttaretisosn, laignhdt ,s ifgenvse ra nandd sdyiamgpntoosmiss o of fI mheprpeteisg od ofi ntso tth ceo pinrceisdeen twatiitohn t haen dfi tnhdei nsgysm tphtaotm wse. have with our current patient. Therefore, the differential #1 - Impetigo: dBiasdtidnocut rc l(a2s0s1if6i)c ahtaios nssta, toende t hoaf tp Irmimpaertyig iom ips eat icgoon wtahgiicohu si sb aanc tienrviaals iinofne octfi othne o pbrseevrivoeuds lmy onroer mofatel ns kiinn c ohri lddirreenc.t bIta chtaesr itawl o imnivnaosri otnra. u Tmhae, aonthde br ictelass fsriofimca itniosne citss .s e Ecocznedmaray ciamnp aeltsigoo b we ahnic uhn cdoemrleysin fgro cmon sdkiitnio tnra. u Immap.e tTighois i sc asne einn cilnu dche ialdbrreansi fornosm, itnwfoe cttoi ofniv ies yneoatresd o ilnd .w aItr mis annodt thou smayid t hcaotn addituioltnss a anndd o cldaner s cphreiladdr eena sdioly n tohtr oguetg hth cel oinsfee cctoinotna cbte. c aCuasrer itahgeey o cfa gnr.o uTph iAs Streptococcus and Staphylococcus aureus has been noted in patients with impetigo (Baddour, 2016). tMypceCsa sntcaert, Hwuiteht hveers,i calneds Bwriaths hae trhs i(n2 v0e1s4i)c uexlaprl aroino ft hthata tt hise rfeo ramree tdw foro tmyp setsr aotfu imm pcoetringeou;m n.o nNbounllbouulsl oaunsd ibs uclolonutasg. iBooutsh, Twhitehs es umpiecrrfoicoiragl avneissimclse ss pthreaat da rbey p duisrteuclta cr oanntda ccta wusiethd obtyh eSrtsa pwhhyol oacroe cicnufes catuedre ours tohrr oguroguhp i nAs eScttr ebpitteosc.o cTchues lpeysioognesn aerse. swmhaitlele-br rvoewsinc.l e Ts haet rfei risst lwymithp hhaodneenyi-tciso lworitehd nsoenrubmul.l o Tuhs eirme pise taig cor.u sBt uthllaotu fso rimmps eatsig toh ei sv ceasuicsleeds bruyp Stutarep hth aaut riesu yse. l lTohwis t o coorgnatanmisimna itse dca erqriueidp mine tnhte. nTohsee ,b paecrtienreiaall taorxeian as nodr feixnfgoelrinataiivlse. t oItx icnasn cbaeu strea dnissmruitptteido nb yin a tnh ein ddeivsmidousaol mora lw aidthh esion