Differential Diagnosis for Skin Condition

Differential Diagnosis for Skin Condition

DifferentialDiagnosis for Skin Condition

DifferentialDiagnosis for Skin Condition

GraphicNo. 2: Cherry Angioma

Cherryanguioma, also known as senile angiomas or Campbell de Morgan Spots,are benign tumours normally found in older adults. They are brightred or purplish papules with either oval or circular shape, and withdifferent size. According to Seidel, Ball, Dains, Flynn, Solomon, andStewart (2011), they formed when a collection of blood vessel(haemangioma) come close to the surface of the skin.

SOAPNOTE

SUBJECTIVE:

Thepatient is thirty-three years old male who came for medical check upafter he noticed red papules around his neck, arms, and shoulders. Hestated that the papules would bleed if he scratched or rubbed them.

Pastmedical history: Negative for skin cancer

Allergies:No allergies

Familyhistory: Positive for Cherry anguioma

Socialhistory: She does not use sunscreen despite moderate sun exposure.

OBJECTIVE:

Thepatient is in normal mood and normal body habits. Upon complete skinexamination on the scalp, neck, chest, abdomen, and back, small redpapules were noticed around his neck, arms, and shoulders.

ASSESSMENT:

Smallred papules around the neck, arms, and shoulders.

PLAN:

Reassuredthe patient the papules are benign hence, no treatment is requiredunless he chooses to remove them.

Encouragedthe patient to avoid scratching or rubbing the papules to avoidbleeding.

Otherlikely conditions are keratoacanthoma, seborreheic keratosis, orsolar lentigines.

GraphicNO. 5: Psoriasis

Psoriasisis a skin disease whereby the skin cells grow too fast resulting inthick, silvery, red, or white patches on skin. According to Ball,Dains, Flynn, Solomon, and Stewart (2015), the skin cells take aboutfour weeks to grow and then flake off to be replaced with a new one.Medics believe psoriasis is caused by inflammation that occurs whenimmune system overreacts (Dains, Baumann, Scheibel, 2012).

SOAPNOTE

SUBJECTIVE:

Thepatient is a twenty-six woman who come for clinical check up. Shestates that her skin has recently become dry and had noticed whitepatches on skin with silvery scales.

Medicalhistory: No history for skin cancer

Allergies:No allergies

Familyhistory: Negative for skin problems

Socialhistory: The white and silvery patches make the patient uncomfortableto associate with people.

OBJECTIVE:

Thepatient is well groomed and has some information about skin problems.From the look, they are noticeable white patches on her skinespecially on the neck, hands, and face.

ASSESSMENT:

Thereare red patches covered with silvery scales, dry and cracked skin,and small scaling spots.

PLAN:

Explainedthis is a chronic disorder hence, recommended long-term treatment.Recommended the patient to use only medicated soaps in conjunctionwith topical steroid. Recommended UVB light therapy with ultraviolet.

Incase the condition became worse, recommended the patient to visitrheumatologist.

Otherlikely conditions are seborrheic dermatitis or pityriasis rosea.

References

Ball,J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &amp Stewart, R.W. (2015). Seidel`s guide to physical examination (8th ed.). St.Louis, MO: Elsevier Mosby.

Dains,J. E., Baumann, L. C., &amp Scheibel, P. (2012). Advanced healthassessment and clinical diagnosis in primary care (4th ed.). St.Louis, MO: Elsevier Mosby.

Seidel,H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &ampStewart, R. W. (2011). Adult examination checklist: Guide for skin,hair, and nails. In Mosby`s guide to physical examination (7th ed.).St. Louis, MO: Elsevier Mosby.