Fever of unknown origin is a diagnosis known well to acute care providers. Rash of unknown origin is not an official diagnosis, but it is one that you will often encounter.

Fever of unknown origin is a diagnosis known well to acute care providers. Rash of unknown origin is not an official diagnosis, but it is one that you will often encounter.

Fever of unknown origin is a diagnosis known well to acute care providers. Rash of unknown origin is not an official diagnosis, but it is one that you will often encounter.

DQ Question: Tinea Corporis

Case: A 22-year-old AA male patient presents with a red rash on the right side of the upper back. He states that the rash began as a reddish, scaly plaque about two weeks ago that has increasingly worsened. He reports itching on the affected side.

ORDER A PLAGIARISM-FREE PAPER HERE

Medical History: The patient is HIV-infected and reports being inconsistent with his medications.

Physical findings: On physical exam, the patient has an erythematous scaly lesion distributed asymmetrically on the upper right back. The lesion spreads out from the center and has central hypopigmentation and a peripheral scaly red rim. The lesion has a raised annular border with a peripheral scale with the free edge of the scale pointed inwards.  The central area is hypopigmented and less scaly as the active border progresses outward.

What is the likely diagnosis?

Impression: Tinea corporis

Tinea corporis is a dermatophyte infection of the face, trunk, and extremities. The lesion tend to be asymmetrically distributed (Leung et al., 2020). The diagnosis is made by clinical examination and by examination of skin scrapings on potassium hydroxide wet mount.

What is your recommended treatment plan for this patient?

Treatment involves topical or oral antifungals. The recommended treatment for mild-to-moderate lesions is an imidazole, ciclopirox, naftifine, or terbinafine in cream, lotion, or gel (Jartarkar et al., 2021). The drug is rubbed in 2 times a day continuing at least 7 to 10 days after lesions disappear, approximately 2 to 3 weeks.

References

Jartarkar, S. R., Patil, A., Goldust, Y., Cockerell, C. J., Schwartz, R. A., Grabbe, S., & Goldust, M. (2021). Pathogenesis, Immunology and Management of Dermatophytosis. Journal of fungi (Basel, Switzerland), 8(1), 39. https://doi.org/10.3390/jof8010039

Leung, A. K., Lam, J. M., Leong, K. F., & Hon, K. L. (2020). Tinea corporis: an updated review. Drugs in context, 9, 2020-5-6. https://doi.org/10.7573/dic.2020-5-6

BUY A CUSTOM-PAPER HERE 

Please answer in full minimum of 250 words. Thank you

“Fever of unknown origin” is a diagnosis known well to acute care providers. “Rash of unknown origin” is not an official diagnosis, but it is one that you will often encounter.

Imagine that during a shift, a nurse calls you to the bedside to look at a “new rash” that a patient has developed over the past 4 hours.

Conduct research and locate a picture of a rash. Design a brief case study to describe the rash. Provide basic information that your classmates will need to problem-solve, diagnose, and treat the rash. Post the case study and associated picture for your classmates.

Select one of the case studies created by your classmates and explain how you will diagnose and treat the rash. Include discussion of additional referrals or consultations that might be necessary. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.