How to Answer Skin Case Presentation Questions (Complete Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to skin case presentation and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves skin case presentation. A strong answer should include explanation, application, and examples.

Original Question

Skin Case Presentation: A 75-year-old Caucasian female, retired teacher, presents to your clinic with a complaint of a skin lesion o n her face. Please review the picture below. Patient History Questions Question Patient Response Did it start suddenly or come on slowly? It was slow How long have you had the lesion? About 6 months Do you only have one lesion and where is it located? One, right side of my face If you have more than one lesion where are they located? No Can you describe the color, size, and shape of the lesion? It is red, firm, about 1½ inch Is the lesion raised? It feels like it is slightly Is the lesion painful? No Does the lesion have any drainage or is it crusted or scaling? It gets scaly and feels rough sometimes Has the appearance of the lesion changed since it appeared? I think it is worse Have you had any fevers, chills, itching, fatigue, or decreased appetite? No Have you ever had cancer? No Any recent injury or trauma to the skin? No Have you traveled recently? No Have you been exposed to any chemicals at home or work? No Outdoor exposure (e.g. hiking, gardening)? I work in my garden every day Are you taking any medications or drugs? Yes, for blood pressure and diabetes Started any new medications recently? No Any change in diet or skincare products? No What makes your lesion better or worse? Nothing Have you applied any creams, lotions, or gels? Eucerin and OTC hydrocortisone How often do you bathe and what products do you use? Daily, Dove soap Applied heat or cold, and did it help? No Physical Examination Findings Category Findings Vital Signs 98.6°F; heart rate 82, regular; respiratory rate 16; B/P 128/74 General Appearance Well-developed, healthy-appearing tanned male in no acute distress. Appears to be stated age and in good health Skin Tanned, dry skin; scalp – red, raised lesion noted on right side of face (~2.0 cm), firm Hair Female, full gray hair, soft Nails Nail and nail fold intact and adhered to the bed; nails translucent with longitudinal ridging but without grooves or pitting Use the Skin Case Study, course texts, and other scholarly resources to develop the following: A. Delineate 3 diagnoses that could support the patient’s symptom(s) in relation to the pertinent information in the case study. Diagnosis 1: Diagnosis 2: Diagnosis 3: B. What subjective and objective findings would be associated with each diagnosis? Diagnosis 1: Diagnosis 2: Diagnosis 3: D. What diagnostic tests and/or procedures would be indicated for confirming and ruling out diagnoses? Include the rationale for each test/procedure. E. What is your final diagnosis with supporting rationale? F. How would you document the procedure you performed on this patient in the procedure section of a SOAP note? G. References: Three scholarly articles from the last 5 years with in-text citations

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