A 65-year-old woman presents to the clinic with a painful rash on her right side. On
examination, there is a group of vesicles on an erythematous base on her right flank. The
patient reports the rash appeared the day before, but the region around the vesicles “felt
like it was on fore” the past week. The patient has never experienced these symptoms
before. Medical history confirms the patient had chicken pox when she was 7 years old.
What is the diagnosis? What medication is used to treat this condition?
Diagnosis:
Herpes zoster or shingles.
Medication:
A 65-year-old woman presents to the clinic with a painful rash on her right side. On...
A 3-year-old girl presents to the clinic with a history of “itchy rash on hands and feet” that started 2 days earlier. On examination, the patient displays multiple small, erythematous papules on the palms, sides, and webs of her hands and fingers, and on the soles of her feet. The mother notes that the pruritis became worst the night before, which caused her child not to sleep well. The mother also states that she is also feeling itchy but thought...
Sara is a 79-year-old patient who is seen in the clinic today for a painful rash that runs in a half-circle along her rib line. The rash is composed of raised, fluid-filled lesions. The patient describes the pain as the most severe pain she has ever experienced. The physician makes a diagnosis of shingles and gives the patient a prescription for acyclovir (Zovirax®). The patient has some questions for the nurse regarding the disease and the medication. 1. The patient...
A 40-year-old man returned from a deer-hunting trip approximately 6 weeks ago and presents to clinic with multiple complaints. He states that recently he has had worsening joint pain and "arthritis" in multiple joints that seem to move to different spots. Patient also complains of some numbness in his feet bilaterally. The patient denies any medical problems and he had a normal annual physical examination prior to hunting trip. Upon further questioning, he remembered having a rash on his body...
16. Your middle aged patient presents to clinic with vesicular, painful lesions on their neck. They appear as small lesions following each other in a curved line and then cluster hear the supraclavicular region on the patient’s left side. When reporting your findings to the provider on call, what is the possible diagnosis you will present? a. Herpes simplex b. HPV c. Shingles d. Hepatitis A _____ 17. Acne vulgaris presents as which of the following lesions: a. Macules b....
16. Your middle aged patient presents to clinic with vesicular, painful lesions on their neck. They appear as small lesions following each other in a curved line and then cluster hear the supraclavicular region on the patient’s left side. When reporting your findings to the provider on call, what is the possible diagnosis you will present? a. Herpes simplex b. HPV c. Shingles d. Hepatitis A _____ 17. Acne vulgaris presents as which of the following lesions: a. Macules b....
A 27-year-old woman with no significant past medical or surgical history presents for evaluation after her gynecologist discovered a palpable mass in the right anterior neck and was told to follow up with her PCP. The patient was previously unaware of the mass and has not experienced neck pain, dysphagia, hoarseness, or compressive symptoms. She is not on any medications and has NKDA. Family history is negative for thyroid carcinoma but several family members have goiters. The patient has no...
Crystal Acton, a 27-year-old married woman, pregnant with her first child, presents at the OB/GYN clinic for her first prenatal visit. The nurse-midwife begins her assessment of this patient by documenting a medical and family history. Mrs. Acton states that the only medication she is taking is a multivitamin with folic acid daily. She has no family history of breast, ovarian, or vaginal cancer. While performing the physical assessment, the nurse-midwife notes a thrill over the thyroid gland, which feels...
Crystal Acton, a 27-year-old married woman, pregnant with her first child, presents at the OB/GYN clinic for her first prenatal visit. The nurse-midwife begins her assessment of this patient by documenting a medical and family history. Mrs. Acton states that the only medication she is taking is a multivitamin with folic acid daily. She has no family history of breast, ovarian, or vaginal cancer. While performing the physical assessment, the nurse-midwife notes a thrill over the thyroid gland, which feels...
A 35 yr old woman presents to the emergency department with right flank pain. She reports that she had a few days of urinary urgency, frequency, and burning which she tried to treat herself by drinking cranberry juice. Earlier that same day she started having a severe, colicky pain on her whole right side. She has a fever, and when she urinated this morning she noticed that it appeared to have blood. She has had a few UTI’s in the...
Case Study #4 A 35 yr old woman presents to the emergency department with right flank pain. She reports that she had a few days of urinary urgency, frequency, and burning which she tried to treat herself by drinking cranberry juice. Earlier that same day she started having a severe, colicky pain on her whole right side. She has a fever, and when she urinated this morning she noticed that it appeared to have blood. She has had a few...