Case: Krista Hampton
n n
IHUMANnCasenStudyn#5nKrista
HamptonnNURSn5308
Instructions:nTypenpatientnencounterninformationndirectlynintoneachnboxnofnthentemplatensimilarlynton yourncasenstudies.
CC:n25ny/onF HPI:nMs.nHamptonnisnan25ny/onfemalenpresentingnwithnannitchynandntendernrash
“Inhaventhisnuglynlookingnrashnonnmynuppernthighs” n bilaterallynonnherninnernthighs,nandnhernleftninnernforearm.nThenrashnstartednabo
utn36nhoursnagonafternhikingninnNapanwithnhernboyfriend.nShenstatesnshenspentnti
menhiking,ntriednannewnsunscreen,ntriednnewnfoodsnsuchnasnscallopsnandnannewndr
ink,nasnwellnasnspendingntimeninnthenhotntubnwithnhernboyfriend.nShenreportsnthat
n hernboyfriendndoesnnotnhavensimilarnsymptoms,nandnthatnshe
hasnnotntriednanyntreatmentsnfornthenrash.
PMHx: SurgHx
Child:n“usualncoughsnandntummynachennothingn
Medical:nNonen
remarkable.”
Surgical:nNonen
AdultnIllness:nDenies
Obstetric:nNone
Hospitalizations:nNone
,FamHx SHx
MaternalngrandfatherndiednofnCVDnatnagen81.
Grandmothern(agen88)nhasnpriornheartnattack,nstent
Tobacco:nDenies
andnHTN.
ETOH:nSocially
Mothernalivenandnwell.
IllicitnDrugs:nDenies
Fathernalivenandnwell,ntreatednfornHTN.
Occupation:nEnglishnteachernforn7thnandn8thngrade
Brothersn-n35nandn32nbothnalivenandnwell.
Sistern-n21nalivenandnwell.
, Relationship:nSexuallynactivenheterosexualnfemaleninnan
monogamousnrelationship
Diet:nNormalnAmericannDiet
ReproductivenHx Allergies
Agenofnmenarche:n“doesn’tnremember.”nMenstru Ceclorn(Cefaclor)nsecondngenerationncephalosporinn–
ationncyclenduration:n“seemsnfinentonme,”nregularnp Patientndevelopednhivesnasnchildnwhenntakingnthisn antibioticnfornotitisnmedia
n
eriods
Sexualnhxnandnconcerns:nDeniesnconcerns ListnofnCurrentnMedications/supplements:nBirthncontroln
LMP:nunknown pillnSupplements:nNone
Breastnscreening:nConductsnself-
breastnexamsnLastnPapnSmear:n1nyearnago,nwit
hnnonsignsnofnabnormalities
Gravidanparanstatus/Childbirthnhx:
Nulliparous
n n
IHUMANnCasenStudyn#5nKrista
HamptonnNURSn5308
Instructions:nTypenpatientnencounterninformationndirectlynintoneachnboxnofnthentemplatensimilarlynton yourncasenstudies.
CC:n25ny/onF HPI:nMs.nHamptonnisnan25ny/onfemalenpresentingnwithnannitchynandntendernrash
“Inhaventhisnuglynlookingnrashnonnmynuppernthighs” n bilaterallynonnherninnernthighs,nandnhernleftninnernforearm.nThenrashnstartednabo
utn36nhoursnagonafternhikingninnNapanwithnhernboyfriend.nShenstatesnshenspentnti
menhiking,ntriednannewnsunscreen,ntriednnewnfoodsnsuchnasnscallopsnandnannewndr
ink,nasnwellnasnspendingntimeninnthenhotntubnwithnhernboyfriend.nShenreportsnthat
n hernboyfriendndoesnnotnhavensimilarnsymptoms,nandnthatnshe
hasnnotntriednanyntreatmentsnfornthenrash.
PMHx: SurgHx
Child:n“usualncoughsnandntummynachennothingn
Medical:nNonen
remarkable.”
Surgical:nNonen
AdultnIllness:nDenies
Obstetric:nNone
Hospitalizations:nNone
,FamHx SHx
MaternalngrandfatherndiednofnCVDnatnagen81.
Grandmothern(agen88)nhasnpriornheartnattack,nstent
Tobacco:nDenies
andnHTN.
ETOH:nSocially
Mothernalivenandnwell.
IllicitnDrugs:nDenies
Fathernalivenandnwell,ntreatednfornHTN.
Occupation:nEnglishnteachernforn7thnandn8thngrade
Brothersn-n35nandn32nbothnalivenandnwell.
Sistern-n21nalivenandnwell.
, Relationship:nSexuallynactivenheterosexualnfemaleninnan
monogamousnrelationship
Diet:nNormalnAmericannDiet
ReproductivenHx Allergies
Agenofnmenarche:n“doesn’tnremember.”nMenstru Ceclorn(Cefaclor)nsecondngenerationncephalosporinn–
ationncyclenduration:n“seemsnfinentonme,”nregularnp Patientndevelopednhivesnasnchildnwhenntakingnthisn antibioticnfornotitisnmedia
n
eriods
Sexualnhxnandnconcerns:nDeniesnconcerns ListnofnCurrentnMedications/supplements:nBirthncontroln
LMP:nunknown pillnSupplements:nNone
Breastnscreening:nConductsnself-
breastnexamsnLastnPapnSmear:n1nyearnago,nwit
hnnonsignsnofnabnormalities
Gravidanparanstatus/Childbirthnhx:
Nulliparous
