Evaluation and Management of Dermatological Disorders
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Skin disorders can be very challenging for adolescents and children because they often not only impact physical health but also mental and emotional health. Moderate to severe acne, for instance, impacts approximately one in five adolescent patients, and studies show that these patients are more than twice as likely to develop mental health problems than those without acne (Peeples, 2010). Like acne, many other skin disorders such as eczema or roseola also impact pediatric patients emotionally, often resulting in issues with self-confidence for even preschool-age patients. In your role as the advanced practice nurse, you must support these patients and treat the whole patient to improve physical and mental health.
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This week you explore differential diagnoses for common skin disorders in pediatric patients. You also examine factors that impact the presentation, treatment, and management of patients with these disorders.
Learning Objectives
By the end of this week, students will:
- Analyze common skin disorders in pediatric patients
- Assess pediatric patients for skin disorders
- Evaluate differential diagnoses for pediatric skin disorders
- Analyze treatment and management plans for pediatric patients with skin disorders
- Evaluate the impact of patient race, ethnicity, and culture on the presentation of dermatologic disorders
- Understand and apply key terms, principles, and concepts related to skin disorders in pediatric patients
- Assess pediatric patients with signs of dermatologic disorders
CASESTUDY
A 24-month-old presents with a red rash that began on his trunk yesterday and has now spread to the face and upper extremities. His grandmother reports that earlier in the week, the toddler had intermittent fevers up to 101.5°F without other symptoms. The fever broke approximately 48 hours ago and the rash began a few hours later.
Review the DermNet NZ and Dermnet Skin Disease Atlas websites in this week’s Learning Resources.
- Select one of the four case studies of skin disorders. Analyze the skin disorder in the case you selected including lesion type, lesion distribution, color, and any ancillary findings.
- Consider 3 differential diagnoses for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient.
- Think about a treatment and management plan for this disorder. Consider appropriate dosages for any recommended treatments.
Post an explanation of the skin disorder in the case study you selected. Include in your explanation the lesion type, lesion distribution, color, and any ancillary findings. Then, present 3 differential diagnoses and explain which is the most likely diagnosis for the patient and why. Finally, explain a treatment and management plan for the patient’s skin disorder, including appropriate dosages for any recommended treatments
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