I need to know part B all the conditions that this patient could have!!! Differe
ID: 50786 • Letter: I
Question
I need to know part B all the conditions that this patient could have!!!
Differential diagnosis is the process of identifying a disease from a list of possible diseases that fit the information derived from examining a patient. Your job will be to synthesize information from a patient whose main presenting symptoms are consistent with a microbial disease of the skin. Use the "Diseases in Focus" 211 212 and 21.3 tables and your knowedge about microbial diseases of the skin and eyes to identify the patient's risk factors and symptoms, evaluate diagnostic evidence, formulate and test a diagnosis about the pathogen responsible for the patients woes, and suggest a course of treatment. Item 1 MEDICAL HISTORY (Hx) The patient is a female, age 68. She is from Minneapolis, MN. She was admitted to emergency room for a sudden onset of vomiting fever, and chills. Upon admittance, hospital staff noted that she had several large, erythematous (red) patches on her body. The patient is unmarried and not presently sexually active. She works part time in her local community center, and volunteers at a dog rescue organization. She lives in an apartment by herself and does not have any pets. She has not traveled recently, and does not report any use of illicit drugs. She has a family history of chronic rheumatoid arthritis and is currently on a course of steroids for the same. A little more than a month ago, she had a bad crash while biking. She broke her nose and wrist, and required surgery to correct both breaks. Post-surgery, the patient reported soreness and pain associated with the site of injury, and a generalized feeling of malaise. She had checked in with her surgeon at several points throughout her convalescence, and was reassured that her symptoms were not out of the range of normal recovery. Last week she noticed that several small, flat, red lesions on her wrist had developed. Upon admittance to the emergency room, she had large, diffuse red patches (similar to macules, but much larger) resembling sunburn across her neck, chest, and abdomen, as well as desquamation (peeling skin) on the tip of her nose and the palms and soles of her feet. You ask the patient to remove her sweater, and as she does, you notice several large (-1.5 cm across), raised purplish lesions that resemble blood blisters on the underside of her right arm and wrist. Part A - Identify relevant information. Review the patients medical history and the dermatological symptoms relevant to her diagnosis Indicate "YES" with a red checkmark, and "NO" with a blue checkmark. Patient Intake Form-Medical History (Hx) Risks, Predispositions, Notes of Concern Age: 68 F Minneapolis, MN Sex: Name: Carm Address: Occupation: Volunteer Age-related risk of disease Immunocompromised (steroid medication for arthritis) Exposure to dogs Social History Relationship status: Reproductive status: Lifestyle factors Notsexually active Not pregnant/ No children Cares for dogs No drugs ofabuse Exanthem Enanthem Vesicles Bullae Macules Family History Rheumatoid arthritis Papules Access "Diseases in Focus" Tables 211 212, and 213 Medical History Allergies: Current medications: Presenting symptoms: Treated for broken nose/wrist (1 mo. ago) Pustules None Steroids (chronic rheumatoid arthritis) Fever, chills, vomiting, rash (see Notes) reset? helpExplanation / Answer
From the above information of the patient history we get to know that patient is suffering with Erysipelas which is caused due to streptococcus pyogenes infection . the infection enters through the minor accident trauma,insect bites , dog bites ,eczema .
all symptoms include ;
fever ,shaking ,chills ,fatigue ,headaches ,vomitings ,general illness within 48 hrs , it appears to be red ,swollen rashes ,bullae ,petechie ,with possible skin necrosis .
part b answers ;
it is sreptococcal skin infection [necrotizing facilitis and erysipelas ]