How to Answer Diana Year Patient Questions (Complete Guide)

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Key Explanation

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Original Question

Diana is a 55-year-old patient who presents with a pruritic rash on the groin, back of hands, and feet. She reports that the Rash has been present for 1 week and makes sleep difficult. She describes the rash as itchy crooked lines and believes this occurred from her scratching in her sleep. She recently traveled out of town and spent the night with an elderly family friend who was recently released from a nursing home and who had a lot of cats. She does not believe she is allergic to cats. She did not change her skin care products or laundry detergent. Her PMH is significant for Asthma, which is controlled, HTN, and Eczema although she has not had a flare-up in a long time. She takes lisinopril 10mg daily for her blood pressure and has a Rescue inhaler. She has no known allergy to medication but is allergic to pollen, ragweed, mushrooms, and grass. Case Questions 1. What are the potential causes of the patient’s pruritic rash? List at least 4 choices with rationale 2. What additional history or information would be helpful in diagnosing the rash? 3. What diagnostic tests if any would you consider to confirm the diagnosis? 4. What would be the appropriate treatment plan for this patient? 5. What counseling or patient education should be provided?

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