Give typed explanation Case Study A 25-year-old male patient reports “itching all over my body” and is seeking treatment for the condition. Upon assessment, the nurse notes reddened areas on the patient’s arms, chest, and upper legs. The patient reports that this reddening is from scratching for the last 3 days. The patient reports intense itching around the undergarments as well. There is no apparent evidence of breaks in the skin, welts, pustules, or insect bites on the patient’s skin. The area around the patient’s undergarments appears chaffed, but no raised areas, open areas, or drainage are noted. The patient scratches around the undergarments but over the clothing, which has protected the skin from scratch marks. The patient’s back also appears chaffed. The patient reports a history of environmental allergies with nasal symptoms due to pollens and pet dander. The patient reports no recent change in prescribed medications, no use of supplements, and no use of new lotions or creams. Upon further questioning, the nurse notes the patient has recently changed laundry detergent. The patient reports using oral diphenhydramine to assist with the symptoms, and topical diphenhydramine has also been helpful. The patient reports drowsiness with the diphenhydramine, making it difficult to complete his daily routine. The patient is informed of treatment, and follow-up is recommended in 1 week if symptoms do not improve. Case Questions 1. What should the initial history include? The symptoms suggest an external etiology, so the history should focus on the external etiology: List 10 history items. 2. What are some possible differential diagnoses for this patient? List 6 diagnoses
Give typed explanation
Case Study A 25-year-old male patient reports “itching all over my body” and is seeking treatment for the condition. Upon assessment, the nurse notes reddened areas on the patient’s arms, chest, and upper legs. The patient reports that this reddening is from scratching for the last 3 days. The patient reports intense itching around the undergarments as well. There is no apparent evidence of breaks in the skin, welts, pustules, or insect bites on the patient’s skin. The area around the patient’s undergarments appears chaffed, but no raised areas, open areas, or drainage are noted. The patient scratches around the undergarments but over the clothing, which has protected the skin from scratch marks. The patient’s back also appears chaffed. The patient reports a history of environmental allergies with nasal symptoms due to pollens and pet dander. The patient reports no recent change in prescribed medications, no use of supplements, and no use of new lotions or creams. Upon further questioning, the nurse notes the patient has recently changed laundry detergent. The patient reports using oral diphenhydramine to assist with the symptoms, and topical diphenhydramine has also been helpful. The patient reports drowsiness with the diphenhydramine, making it difficult to complete his daily routine. The patient is informed of treatment, and follow-up is recommended in 1 week if symptoms do not improve.
Case Questions
1. What should the initial history include? The symptoms suggest an external etiology, so the history should focus on the external etiology: List 10 history items.
2. What are some possible differential diagnoses for this patient? List 6 diagnoses
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