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STU Early & Late Onset of Palmoplantar Nail Scalp and Intertriginous Psoriasis Ques

STU Early & Late Onset of Palmoplantar Nail Scalp and Intertriginous Psoriasis Ques

Question Description

  • You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts.
  • All replies must be constructive and use literature where possible.

Ebanks, Lillian

Nov 30, 2020 at 13:53

Module 7 Discussion

Integumentary Function

  1. Name the most common triggers for psoriasis and explain the different clinical types.
  • Bacterial or viral infections in any location; Dry air or dry skin; Skin injuries (e.g., cuts, burns, and insect bites); Use of certain medicines (e.g., antimalaria agents, beta blockers, and lithium); Stress; Too little or too much sunlight; Excessive alcohol consumption (Dlugasch, Story, 2021).

2. There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.

  • There are different types of treatments that can aid K.B’s relapse episode. There are topical treatments, phototherapy, and systemic therapy (Dlugasch, Story, 2021). I believe the best type of treatment to begin K.B on are topical treatments. Topical treatments such as moisturizers, coal tar, anthralin, retinoids, vitamin D analogues, salicylic acid, and dandruff shampoo can reduce inflammation, dryness, itching and scaling that psoriasis can cause (Dlugasch, Story, 2021). It is also important for K.B to use coping strategies that help alleviate or avoid stress that can cause flare ups (Dlugasch, Story, 2021).

3. Included in question 2

  • Included in question 2.

4. A medication review and reconciliation are always important in all patient, describe and specify why in this particular case is important to know what medications the patient is taking?

  • A medication review and reconciliation are important to because it prevents harm from medications and any adverse effects it might cause (“Medication Reconciliation to Prevent Adverse Drug Events,” n.d.). In this case, it is important to know what medications K.B is taking to see if any other medication might be causing a relapse of psoriasis or if any other medication is inhibiting the way K.B’s original medication should be working.

5. What others manifestation could present a patient with Psoriasis?

  • Besides the plaques, other clinical manifestations include intense erythema and scaling that covers a large area usually from head to toe; small, pink-red papules and plaques that usually appear abruptly; erythema and irritation usually with no scaling in areas such as the armpits, groin, and skin folds; and papules and plaques with pustules surrounded by erythema (Dlugasch, Story, 2021).

Sensory Function

  1. Based on the clinical manifestations presented on the case above, which would be your eyes diagnosis for C.J. Please name why you get to this diagnosis and document your rational.
  • Based on the clinical manifestations, I believe C.J has conjunctivitis. I believe he has this eye diagnosis due to the fact that his visual acuity returns to normal after clearing his eyes, he has sticky, crusty, and yellowish discharge on his eyes, and also has erythema. These are all signs that point to conjunctivitis (Dlugasch, Story, 2021).

2. With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not.

  • I believe that the probable etiology would be bacterial because this can lead to otitis media, which C.J probably has based on the fact that the tympanic membrane is opaque, bulging and red. Bacterial conjunctivitis usually produces a yellow-green exudate in both eyes and can also be accompanied by other disorders like otitis media (Dlugasch, Story, 2021).

3. Based on your answer to the previous question regarding the etiology of the eye affection, which would be the best therapeutic approach to C.J problem.

  • Although many cases of conjunctivitis can be resolved without any treatment, I believe the best therapeutic approach would be to prescribe C.J with antibiotics such as a topical ointment or eye drops (Dlugasch, Story, 2021).

References

Dlugasch, L., Story, L., & Story, L. (n.d.). Applied pathophysiology for the advanced practice nurse. Burlington, MA: Jones & Bartlett Learning.

Medication Reconciliation to Prevent Adverse Drug Events: IHI. (n.d.). Retrieved November 30, 2020, from http://www.ihi.org/topics/ADEsMedicationReconciliation/Pages/default.aspx


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