Properly identifying the cause and type of a patient`s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.
In this Discussion, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.
Note: Your Discussion post should be in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style Discussion posting format. 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.
Please use sources from
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel`s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
•Chapter 8, “Skin, Hair, and Nails” (pp. 114-165)
This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
•Chapter 28, “Rashes and Skin Lesions” (pp. 325-343)
This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.
•Review the Skin Conditions document provided in this week`s Learning Resources, and select two conditions to closely examine for this Discussion.
•Consider the abnormal physical characteristics you observe in the graphics you selected. How would you describe the characteristics using clinical terminologies?
•Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
•Consider which of the conditions is most likely to be the correct diagnosis, and why.
By Day 3
Post a description of the two graphics you selected (identify each graphic by number). Use clinical terminologies to explain the physical characteristics featured in each graphic. Formulate a differential diagnosis of three to five possible conditions for each. Determine which is most likely to be the correct diagnosis, and explain your reasoning.
Differential Diagnosis for Skin Conditions Student`s Name Institutional Affiliation Differential Diagnosis for Skin Conditions Graphic 5 Subjective The graphic presents a skin of a patient of unknown age who complaints of itchy skin in large areas of the body. The most affected areas are the joints as reported by the patients. The patient states that the dandruff-like scales appear in cycles which appear after a week then subsides before erupting again. The patient notes that there were such conditions among the family member sometimes back. Objective Plaques of redness on the skin are visible. There is reddening of the skin. The red patc