NURS 5338 FAMILY CLINICAL PRACTICE 2; midterm studio video, complete solution guide_latest fall 2025.

NURS 5338 FAMILY CLINICAL PRACTICE 2; midterm studio video, complete solution guide_latest fall 2025. What is Hidradenitis Suppurativa? Hidradenitis Suppurativa (HS) is a chronic, inflammatory skin disease that affects the hair follicles and apocrine sweat glands, primarily in areas where skin rubs together—like the armpits, groin, buttocks, and under the breasts. It's not infectious or due to poor hygiene. Key Characteristics: • Painful, deep-seated nodules, abscesses, and draining sinus tracts • Recurrent flare-ups and scarring • Commonly affects women more than men • Onset typically occurs in the late teens to early 30s Clinical Staging (Hurley Staging System): 1. Stage I: Single or multiple abscesses without sinus tracts or scarring 2. Stage II: Recurrent abscesses with sinus tract formation and scarring 3. Stage III: Diffuse or near-diffuse involvement with interconnected tracts and multiple abscesses Risk Factors: • Obesity • Smoking • Family history • Possible association with metabolic syndrome, Crohn’s disease, and hormonal imbalances Treatment Options: • Topical clindamycin (mild cases) • Oral antibiotics (e.g., doxycycline or clindamycin + rifampin) • Hormonal therapy (e.g., spironolactone or OCPs in women) • Biologic agents (e.g., adalimumab – FDA approved for moderate to severe HS) • Surgical intervention for sinus tracts and scar tissue • Lifestyle changes: Weight loss, smoking cessation, hygiene with gentle cleansers Patient Counseling: • HS is not contagious • Early treatment can reduce long-term scarring and improve quality of life • Emotional support and mental health screening are important—HS is associated with depression and anxiety Let me know if you'd like a sample H&P for an HS patient or a patient education handout! CC: “Painful bumps under my arms that keep coming back.” HPI: J.L. is a 33-year-old female presenting with recurrent, painful lumps in her bilateral axillae for the past 2 years, worsening over the past 3 months. She reports the lesions often begin as tender nodules, which enlarge and occasionally rupture with foul-smelling drainage. The current flare began 1 week ago and involves multiple painful bumps on the right axilla. She denies fever or chills but reports increasing discomfort and embarrassment due to odor and drainage. She notes a history of similar breakouts in her groin area. Lesions tend to resolve slowly and leave behind dark marks and occasional scarring. She has tried over-the-counter antibacterial washes with minimal benefit. No history of boils elsewhere. She smokes occasionally and has gained approximately 20 lbs in the last year. She is otherwise healthy and not currently on any prescription medications. T.J. is a 42-year-old female with a known history of hidradenitis suppurativa (HS) presenting with a painful, swollen lesion in her left axilla that has been present for about 5 days. She reports increasing tenderness, redness, and swelling of the area. Over the past 48 hours, she has noted worsening pain, warmth, and limited arm movement due to discomfort. She reports a history of similar flares in both axillae and groin, though this one feels more inflamed than usual. She denies fever, chills, or drainage from the lesion at this time but is concerned it may be infected. She has not taken any antibiotics for this episode. HS was previously managed with topical clindamycin and warm compresses, though she has not been consistent with treatment recently. Powered by TCPDF ()