Read the case abstraction and acknowledgment the questions as directed.
Following Case Study Question: As an NP student, needs to actuate the medications for Tinea Pedis.
WEEK 5: DISCUSSION QUESTION IN DISCUSSION BOARD
DERMATOLOGY CASE STUDY
Chief complaint: “ I accept scaly band in sole of all-overs and clammy white crusts amid my toes back I started application boots balmy weather” for accomplished 2 weeks.
E.D a 45-year-old hispanic changeable presents to the dispensary for complaint of agog in all-overs and scaly curst in sole of all-overs and clammy white crusts amid toes. She developed a red, acquisitive adventurous constant with hypersensitivity reaction. She additionally indicates that she has noticed that her affection are deepening for accomplished 2 weeks and it started afterwards she started to use boots in balmy weather. She has affection of red, agog adventurous constant with a hypersensitivity acknowledgment and tinea pedis. She wore about 2 weeks ago her mother’s shoes after socks and her mother has history of Tinea Pedis.
She has approved lotrimin AF chrism for agog and it did not advice abatement her symptoms. She has not approved alternative remedies.
Denies associated affection of fever, chills, affliction or any alternative symptoms.
Diabetes Mellitus, blazon 2. Peripheral Vascular disease. Varicose Veins.
She receives an anniversary flu shot. Last flu attempt was this year
High academy graduate, affiliated and no children. He drinks one 4-ounce bottle of red wine daily. He is a above smoker that chock-full 3 years ago.
Both parents are alive. Father has history of DM blazon 2, Tinea Pedis.
mother animate and has history of atopic dermatitis, tinea corporis and tinea pedis.
Constitutional: Negative for fever. Negative for chills.
Respiratory: No Shortness of breath. No Orthopnea
Cardiovascular: + 1 pitting leg edema. + Varicose veins.
Skin: + adventurous crusted white in all-overs and inter-digit in feet.
Psychiatric: No anxiety. No depression.
Height: 5 all-overs 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0 po P 88 R 22, non-labored
HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth accident seen. Gums no redness.
NECK: Neck supple, no apparent masses, no lymphadenopathy, no thyroid enlargement.
LUNGS: No Crackles. Lungs bright bilaterally. Equal animation sounds. Symmetrical respiration. No respiratory distress.
HEART: Normal S1 with S2 during expiration. Pulses are 2+ in high extremities. 1+ pitting edema abate bilaterally.
ABDOMEN: No belly distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No apparent masses.
GENITOURINARY: No CVA amore bilaterally. GU assay deferred.
MUSCULOSKELETAL: Slow amble but steady. No Kyphosis.
SKIN: +Dryness, No accessible lesions. +Dry crusts in sole of feet. + clammy band in amid toes.
PSYCH: Normal affect. Cooperative.
Labs:: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98
Peripheral Vascular Ache (PVD) (173.9)
Tylenol 650 mg PO Q4 hours as bare for arthritis pain
Labs: CBC with animosity to appraise for infection and baseline lab. CMP, PT/INR to appraise cachet of alarmist and kidneys.
Referrals: may accredit based on aftereffect of medication analysis accustomed for 2 weeks.
Follow up: acknowledgment to appointment in 2 weeks to appraise her symptoms.
Question: As an NP student, needs to actuate the medications for Tinea Pedis.