Chapter 6, Problem 11R

Example of itchy skin lesion

L.H. is a 55 year old male patient that has come into your clinic. L.H. has worked in construction for 15 years and is complaining of a red, itchy, dry rash that has formed on his arms and hands. Lately, his job is working to lay cement which means he is outside most of the time. The rash is often itchy and painful, which prevents him from performing his duties to his best ability and he is worried about continuing to work. Additionally, it has impacted his ability to play golf, a hobby that he enjoys in his spare time.LH has tried wearing work gloves, but due to the nature of the job he is unable to wear them the entire time. He’s also tried different creams, but that had little effect. Come up with 5 follow up questions you could ask L.H.  to further determine the appropriate skin condition?   Comprehension. Discuss the current treatment options for the disease or disorder chosen in question 1.

A call to the doctor’s office from an anxious mom reports that her 8-year-old son, Billy, arrives home from school with multiple small bruises (petechiae) and a few larger bruises (ecchymosis) on his arms, legs, and trunk. These bruises were not there when he left for school, and Billy denies being hit or falling. Mom states that he has no significant medical history, and that he is not on any medications. Billy is taken immediately to the emergency room. The mother becomes increasingly anxious as she notices new bruises appearing “in front of her eyes.” Billy also appears tense as he senses some urgency and notices some concern from medical personnel beginning the assessment.   Why does unexplained multiple bruising in a child or adult require prompt medical attention?   How might you understand the natural concern by medical personnel as to the source of the bruises on Billy’s body?   Early assessment of Billy’s vital signs and the child’s welfare indicate that Billy’s condition…