inhuman-Kaylee Hales - inhuman dermatology case study Primary Care 1 (Regis College)

Inhuman-Kaylee Hales - inhuman dermatology case study Primary Care 1 (Regis College)
Kaylee Hales, 25 years old otherwise healthy female, presented with two days of intensely
pruritic erythematous popular rash on the inner thighs and left inner forearm. Physical
examination shows a 6 cm set of linear circumscribes, erythematous blisters on the left inner
forearm, and a 10x12 cm scattered contiguous erythematous popular rash with surrounding
superficial excoriation on the inner thighs. Vitals and the remaining physical examination are
unremarkable. Recent exposures include hiking through the woods, hot tub use, new lotion use,
and ingesting scallops for the first time in her life.
PMH: no past medical history
Vital signs: 116/62, 70, 98.3, 95% room air, 20.
Four different diagnoses:
Contact Dermatitis (CD)
Contact dermatitis is a skin inflammation caused by direct contact with an allergen or
irritant. CD categorize into two subcategories allergy and irritant dermatitis. CD shares the same
cardinal symptoms as pruritic, erythematous rash, vesicular and linear, rough, redden patches,
weepy lesions with numerous tiny vesicles on an erythematous base that is pruritic or a burning
or sting sensation (Dunphy et al., 2019). Based on the patient's activity history, the patient went
hiking a couple of days ago; she wore shorts and tank tops and had possible exposure to toxic
plants on her extremities and upper arms. Poison ivy (Toxicodendron) dermatitis (TD) results
from contact with poison ivy, oak, or sumac. It is a common form of allergic contact dermatitis
(ACD) that affects millions of people in the United States annually (Kim, & slowly, 2019).
Toxicodendron dermatitis can cause discomfort, marked itching, and blisters formation (Butt et
al., 2019). The patient's rash appears pruritic, blister, and erythematous popular rash on her
thighs and inner arms. Based on these symptoms, contact dermatitis is the primary diagnose.
Pruritus
Pruritus is the sensation of itch accompanied by the urge to scratch (Dunphy et al., 2019).
Pruritus presents with rash or no rash. No rash pruritus is caused by internal diseases such as
renal, liver, the delusion of parasitosis, hyperparathyroidism, Hodgkin's lymphoma, and
polycythemia vera. Pruritus with a rash caused by external skin disease, insect bites, fungal
infestation, topical products, scabies, dry skin, or drug reaction. Besides pruritis, the patient has
other symptoms, such as vesicles on an erythematous base and a rash spreading from her thighs 

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