Lab Assignment: Differential Diagnosis for Skin Conditions
Patient Initials: ___CL____ Age: ___433____ Gender: ___M____
SUBJECTIVE DATA:
Chief Complaint (CC): The patient is a 33-year-old Caucasian male with symptoms that include fever, redness, swelling, discomfort, and warmth in the right lower limb around the shin area. This comes after unintentionally cutting himself a few days prior on a barn’s exposed nail. (The image chosen is number 4).
History of Present Illness (HPI): The patient displayed the inflammation-related symptoms mentioned above. He disclaimed any prior instances of the same. Three days after sustaining the cut to his right lower limb, he claims to have been aware of the symptoms. The lesion feels warm to the touch and is painful in the typical way. He also laments having a temperature. Walking aggravates the discomfort, which is only momentarily relieved by painkillers and anti-inflammatory drugs like Tylenol. There is constant discomfort, warmth, and pain. He gives his symptoms an eight out of 10 for severity Case Study For Differential Diagnosis For Skin Conditions Paper.
Medications:
Allergies: He reports no known allergies to medications, food substances, or other known environmental irritants.
Past Medical History (PMH): He is a known hypertensive on lisinopril and hydrochlorothiazide (HCTZ) as Zestoretic.
Past Surgical History (PSH): He has no significant surgical history.
Sexual/Reproductive History: He describes himself as being heterosexual, is married, and has two children (a girl and a boy)Case Study For Differential Diagnosis For Skin Conditions Paper.
Personal/Social History: Patient CL is a truck driver who lives in a safe neighborhood on the outskirts of the metropolis with basic amenities such as water, a public transport network, good roads, and garbage collection services. He lives with his wife and two children and only on occasion leaves the house on the weekends to go out with friends. He is a social drinker and only drinks on these weekend outings but he denies smoking tobacco. He does not use his mobile phone while driving and always fastens his seatbelt when doing so. His hobbies include traveling, animal husbandry, and hiking.
Health Maintenance: Patient CL regularly goes for check-ups and follow-ups together with his family such as to the ophthalmologist, dentist, and otolaryngologist.
Immunization History: He had all of his shots as a child. He has received booster Tdap doses, as well as the flu and pneumonia vaccines, as an adult. After the pandemic started, he also received three doses of Covid-19, including a booster dosage.
Significant Family History: His father is obese and diabetic, while his mother is hypertensive. He has two siblings but none of them has any chronic illness.
Review of Systems (ROS): Case Study For Differential Diagnosis For Skin Conditions Paper
General: Positive for fever but negative for malaise, chills, and weight loss.
HEENT: Negative for double vision, light sensitivity, otorrhea, tinnitus, runny nose, or sore throat.
Respiratory: Negative for difficulty in breathing, wheezing, or coughing.
Cardiovascular/Peripheral Vascular: Negative for chest pains, tightness, palpitations, or peripheral edema.
Gastrointestinal: Negative for diarrhea, vomiting, or nausea. Also denies changes in bowel movements.
Genitourinary: Negative for painful micturition, frequency of micturition, discharge, lesions, or oliguria.
Musculoskeletal: Negative for muscle pain, back pain, or joint pains.
Neurological: Negative for dizziness, syncope, or paraesthesia, paraplegia, paralysis, or loss of bowel and bladder control.
Psychiatric: Negative for anxiety or depression.
Skin/hair/nails: Positive for redness, swelling, warmth, and soreness of the skin on the lower right limb in
Order this paper