NR 661 Week 4 Vise Assignment Study Guide Common Diagnosis: Summer 2020
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NR 661 Week 4 Vise Assignment Study Guide Common Diagnosis: Summer 2020 Preview of Starting Page….. Hypertension Presentation: Most are not symptomatic, Occipital Headaches, headache on awakening in
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am, burry vision, Diagnostic studies: EKG, fasting lipid profile, fasting blood glucose, CBC, CMP, and urinalysis. Diagnosis: > 140/90 mm Hg start on B/P medication. Non-pharmacologic Management: Lifestyle modifications: diet and exercise 30 minutes aerobic exercise 5 days per week. Limit alcohol stop smoking stress management. Pharmacologic Management: hydrochlorothiazide (HCTZ) 25 mg/day ALTERNATIVE Amlodipine besylate 5 mg /day. I lisinopril 10mg/day complicated HTN Follow up: 2-4weeks Referral: Cardiology if EKG is normal……….. continue Preview of Last Page….. Integumentary DD: Contact Dermatitis Differential Diagnoses: Allergy versus Irritant Contact Dermatitis; Eczema; Contact Urticaria Syndrome; Drug-Induced Bullous Disorders; Drug-Induced Photosensitivity; Seborrheic Dermatitis; Tinea Corporis Drug Eruption/ Allergic Reaction to Med DD: viral exanthems {Measles (rubeola), Rubella, Erythema infectiosum/5th disease (human parvovirus B19), Roseola infantum or exanthem subitum (human herpesvirus 6 or 7), mono (EBV or CMV), HIV infection}; bacterial exanthems {Scarlet fever, Mycoplasma infection}, rashes associated with systemic diseases {Juvenile idiopathic arthritis and adult-onset Still disease}, and cutaneous diseases { Acute cutaneous lupus erythematosus} Ingrown Nails (toenail= unguis incarnatus or onychocryptosis) DD: Paronychia (tender bacterial or fungal nail infection); Foreign body; Nailbed Injuries; Bunion; Cellulitis; Group A Streptococcal (GAS) or staph aureus Infections; Subungual exostoses; Periungual fibroma; Onychomycosis; Amelanotic melanoma; Osteomyelitis; Herpetic Whitlow; Paronychia; Pyogenic granuloma Note: paronychia is NOT the same as onychocryptosis. Paronychia is a fingernail or toenail area skin infection, which usually affects the cuticle/sides of the nail. Acute paronychia –sudden onset, fingers, short lasting. Chronic paronychia – lasts longer; fingers or toes; doesn’t get better or keeps coming back. End of Document Preview
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