Integumentary and Sensory Function
Integumentary Function:
K.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.
Case Study Questions
- Name the most common triggers for psoriasis and explain the different clinical types.
- 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.
- Included in question 2
- 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?
- What others manifestation could present a patient with Psoriasis?
Sensory Function:
C.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24 hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go away but by the contrary increased producing a blurry vision specially in the morning. Once he clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging and red.
Case Study Questions
- 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.
- 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.
- 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.
Submission Instructions:
- You must complete both case studies.
- Your initial post should be at least 500 words per case study, formatted and cited in current APA style
Requirements: 500 word
Answer preview
Psoriasis is a skin disease that causes itchy scaly patches, which usually turn red around the elbow, knee, scalp, and trunk. The most common triggers of the disease include skin infections, skin injury, weather changes, especially icy dry conditions, smoking or exposure to secondhand smoke, or heavy alcohol consumption. From a clinical perspective, psoriasis is a wide scale of skin infections, and various forms of treatment can be presented as all lesions have common characteristics (Rendon & Schäkel, 2019). The most common clinical types include plaque psoriasis, where a patient experiences sharp round oval circumscribed plaques. Guttate psoriasis is when a patient gets small lesions of psoriasis. Flexural psoriasis is another type of psoriasis which appear red, and shiny appearing mainly on the trunk and limbs. Another type is erythroderma which involves total or subtotal part of the skin. Sometimes it may progress as
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