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Chief complaint A 45-year-old female presents with a complaint of an itchy red r

July 3, 2024
Nursing

Chief complaint

A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks.She has been going on a daily basis to the local YMCA with children for Summer camp.

Vital signs:

healthy-appearing female in no acute distress

EYES: no injection, no increase in lacrimation or purulent drainage;
EARS: normal
TM: Normal

CTA AP&L

mild edema with inflammation located on forearms, upper arms, and chest wall, thighs and knees; primary lesions are a macular papular rash with secondary linear excoriations on forearms and legs

Once you received your case number, answer the following questions:

  1. What other subjective data would you obtain?
  2. What other objective findings would you look for?
  3. What diagnostic exams do you want to order?
  4. Name 3 differential diagnoses based on this patient presenting symptoms?
  5. Give rationales for your each differential diagnosis.

Submission Instructions:

  • Your instructor will assign you your case number and you will post on the case number you have been assigned.
  • You will reply to the other two case studies (One of each).
  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

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Grading Rubric

Your assignment will be graded according to the grading rubric.

Discussion Rubric
Criteria Ratings Points

Identification of Main Issues, Problems, and Concepts

Distinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.

Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.

Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.

Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.

 5 points

Use of Citations, Writing Mechanics and APA Formatting Guidelines

Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.

 3 points
Response to Posts of Peers

Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.

Fair – 1 point
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.

Poor – 0 points
Student provided no response to a peer’s post.

 2 points

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