Download Advanced assessment: interpreting findings and formulating by Mary Jo Goolsby EdD MSN ANP-C CAE FAANP, Laurie Grubbs PDF

By Mary Jo Goolsby EdD MSN ANP-C CAE FAANP, Laurie Grubbs PhD MSN ANP-C

AJN 2006 Award WinnerUnique in its process, this new publication takes clients past the identity of actual evaluation abnormalities to reach at a differential analysis of the patient's ailment. Readers the best way to include actual exam, sufferer heritage, and diagnostic experiences to appropriately prognosis a patient's problem.

Incorporates info at the interpretation of evaluation findings

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Extra resources for Advanced assessment: interpreting findings and formulating differential diagnoses

Sample text

Diagnostic Studies. Usually none are necessary. However, the contents can be cultured and the lesion can be biopsied. MOLLUSCUM CONTAGIOSUM (PLATE 19) Molluscum contagiosum is a skin lesion caused by the DNA poxvirus. It affects persons of all ages. Signs and Symptoms. On occasion, patients present with the complaint of burning or pruritus at the site of lesion, although they are usually asymptomatic. The lesion has a smooth surface, with exception of a central indentation. Although the lesion is skin-colored or pink, the area immediately surrounding the lesion may be red.

SUMMARY The content of this textbook is directed toward assisting clinicians to adequately assess presenting complaints and then to consider reasonable explanations for the complaint and findings. For each complaint, a summary of the relevant history and physical assessment is provided, along with a list of conditions that should be considered in the differential diagnosis. The lists of conditions are not exhaustive. However, by considering the possibility of those included, clinicians will consider various potential etiologies and, by weighing the likelihood of these options, begin to develop critical-thinking skills necessary for clinical decision-making.

The lesions consist of areas of hypopigmentation, usually covered with a very fine scale. The hypopigmented area is poorly defined and often dry. Over time, the dryness and/or scaling resolves to leave a smooth area of hypopigmentation. The lesions sometimes arise from an initial area of mild erythema. Common sites include the face and arms. Diagnostic Studies. None warranted. TINEA VERSICOLOR (PLATE 27) Caused by Malassezia furfur (formerly named Pityrosporum orbiculare), a yeastlike organism that is not contagious.

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