What drugs cause rash with sun doxycycline, tetracycline, ciprofloxacin, levothyroxine, trimethoprim
exposure
-avoid UV radiation exposure
-limit time in sun
-avoid midday sun
-use sunscreen (min SPF30 reapply Q2)
Skin cancer prevention education -wear sun-protective clothing
-avoid indoor taning
Hx of prev. melanoma
Age >50
Regular derm absent
HARMM melanoma risk model Mole changing
Male gender
Asymmetry
Boarder irregularity, blurred or notched
Color variation or change
Inspecting a nevi/Screening for Diameter >6mm
Melanoma (ABCDE) Evolution/change in size, symptoms, or morphology
lesions that develop as a direct result of and therefore are most
characteristic of the disease process.
They are flat, raised, or fluid filled.
Primary Lesions Macule, patch, papule/plaque, burrow, vesicle/bulla, wheal,
pustule, cyste, nodule
Changes resulting from reaction to primary lesion, created by
patient through scratching or secondary to infection; appears as
Secondary lesions scales, crust, scars, keloids, or lichenification (thick and leathery
skin)
a superficial fungal infection.
lesions are classified by location and are usually seen in warm,
Tinea moist areas of the body. Symptoms usually include thickening of
the skin with scaling and mild erythema
(athlete's foot) seen in the intertriginous spaces, usually between
lateral toes, as a white raised patch with fissures that may ulcerate
Tinea pedis
Tinea manuum fungal infection of the palm of one or both hands
Tinea unguium (onychomycosis) fungal infection of the nail plate
Tinea capitis involves the scalp and hair
Tinea barbae involves the beard area of men
(ringworm) presents as annular erythematous plaques with raised
Tinea corporis scaling border and central clearing
, Baylor NUR5354 HA Exam 1 ANSWER KEY 2025/ 2026
Tinea cruris (jock itch) is seen in the groin, proximal thighs, and pubis
not a dermatophyte infection, it is actually a superficial yeast
infection. Causative organism is Malassezia and it presents as
asymptomatic hyperpigmented scaly macules and patches in
some patients, esp. those who have lighter colored skin, and
Tinea versicolor hypopigmented scaly macules and patches in dark-skinned
individuals. Usually seen on the trunk or arms
flat change in the color of the skin, usually less the 1.5cm in
Macule diameter; example is a freckle or purpura
palpable elevation of the skin, less than 1 cm in diameter; origin
may be epidermal, dermal, or both;
Papule example are nevi, seborrheic dermatitis, or dermatofibroma
red bump on eyelid. Sometimes called eyelid cyst or meibomian
cyst. Slowly forms when an oil gland (called a meibomian)
Chalazion becomes blocked. At first, may be painful, but after a little time, it
usually doesn't hurt
Screening thorax/lungs- pre lack of awareness that life can be improved by a change in
contemplation stage behavior
recognition of the problem, inital consideration of the behavior
Screening thorax/lungs- change, and information gathering about possible solutions and
contemplation stage actions
Subjective
What part of the clinical record
are patient complaints
documented under (subjective or
objective)
includes patient's personal hx which captures
sexual orientation and gender identity (SOGI), occupation and
education, significant relationships and safety in those
relationships, home environment, life experiences (military, jobs,
financial situation, retirement), leisure activities, sexuality,
What is included in social hx spirituality, social support system, baseline level of function
tobacco, drug, alcohol use, lifestyle habits that promote health or
create risk
includes symptoms-health concerns that the patient tells you
Subjective information Example: c/o chest pain
includes signs- detected by you from physical exam
Objective information Example: tenderness on palpation of anterior chest
the primary symptom or concern causing the patient to seek care
(subjective)
Chief Complaint (CC)