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Evaluating and managing integumentary conditions

Student Name

Walden University

NRNP 6531:Advanced Nursing Practice Competencies Integumentary and HEENT

conditions Dr. Laneita Davis

June 17, 2021

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Evaluating and managing integumentary conditions

Evaluating and managing integumentary conditions

According to (Buttaro et al., 2021), the clinician must consider that skin problems often

occur in our population. Skin diseases can take many forms and manifest quickly. Due to the

dermis being the largest organ on the body, skin problems can be one of the hardest to heal and

prevent spreading(Seidel et al., 2011). There are many factors such as ethnicity, age, population,

genetics, and the body habitus skin surface. There also could be an underlying systemic

pathologic condition that may be causing the problem (Buttaro et al., 2021, p. 230).

Krista Hampton, a 25-year-old female, presented to the clinic today with complaints of

a rash and burning between her legs. Discovered between her thighs, then she showed multiple

small red areas, some with fluid and some without, on the inner posterior forearm. The patient

reported going bushwhacking and possible exposure to poison ivy, oak, and or sumac. The

patient additionally believes it could be a mosquito and or a tick bite. The patient denies overthe-counter drugs and or treatment. The only prescription drug she takes is birth control pills—

the chief patient complaint of rash and going bushwacking. The primary diagnosis chosen is

Allergic Contact Dermatitis (L20.9). Differential diagnosis dermatitis herpetiformis

Sporotrichosis (B42) dermatitis herpetiform (L13.0) Seborrheic Dermatitis (L21.9).

Primary diagnosis Allergic Contact Dermatitis (ACD) (Chorzelski et al., 2020) (L20.9)

(Casto, n.d.) the patient was going bushwhacking and possible exposure to ivy, oak, and sumac.

ACD is known for the inflammation that It causes on the skin, usually when a person has been

exposed to a chemical but mostly antigens (Buttaro et al., 2021). Thousands of antigens and

chemicals can cause harm to the human species. Usually, the patient will present with pruritus,

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