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NRNP 6512 Week 4 Case Report: Dermatologic Assessment and Care Planning for a 25-Year-Old Male With Acute Skin Eruption"Actual I-HUMAN CASE WEEK #4: A 25-YEAR-OLD MALE WITH SKIN PROBLEM COURSE nrnp 6512 INCLUDING (REFERENCE & CITATION) “Identifying Allergic Contact Dermatitis: Case-Based Diagnostic Reasoning in NRNP 6512” From Exposure to Eruption: Week 4 I-Human Analysis of a Pruritic Rash in a Young Male
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From Exposure to Eruption: Week 4 I-Human Analysis of a Pruritic Rash in a Young Male
Here is a comprehensive guide for I-Human Case Week #4: A 25-Year-Old Male With Skin Problem in the context of Walden University Course 6512 – Advanced Health Assessment and Diagnostic Reasoning. This includes a case summary, clinical reasoning, differential diagnosis, and references.
o Linear streaks observed. o Some areas of excoriation due to scratching. o No signs of secondary infection.
The pattern of linear vesicular lesions with intense itching in a landscaper strongly suggests allergic contact dermatitis , likely due to poison ivy (urushiol-induced reaction). The lesions follow the line of contact, characteristic of plant exposure.
2. Irritant Contact Dermatitis - Non-allergic; due to repeated chemical or physical irritation (e.g., soaps, detergents, sweat/friction from work clothes) - Erythematous, scaly rash - Burning or stinging > itching - No vesicles typically 3. Scabies - Intensely pruritic rash, especially at night - Burrows in web spaces, genitalia, wrists - Often excoriated papules - May have secondary infection from scratching 4. Tinea Corporis (Ringworm) - Fungal infection of the body - Annular plaques with raised, scaly borders and central clearing - Mild to moderate itching - KOH prep reveals hyphae 5. Atopic Dermatitis (Eczema) - Chronic relapsing dermatitis - Often associated with personal or family history of asthma/allergies - Flexural surfaces (e.g., elbows, knees) commonly affected - Pruritus is hallmark; may ooze or crust 6. Pityriasis Rosea - Acute self-limiting rash, mostly in young adults - Starts with a single "herald patch," followed by widespread smaller lesions on trunk - "Christmas-tree" distribution - Mild pruritus
7. Drug Eruption (Exanthematous or Morbilliform) - Widespread symmetric red maculopapular rash - Usually begins 1–2 weeks after starting a new medication - May have low-grade fever or eosinophilia - Rash resolves with drug withdrawal 8. Psoriasis (Guttate Type or Plaque) - Erythematous plaques with silvery scales - Typically involves elbows, knees, scalp, and lower back - Guttate psoriasis can appear suddenly post-streptococcal infection 9. Folliculitis - Inflammation/infection of hair follicles - Erythematous papules or pustules centered around follicles - May be itchy or tender - Often from shaving or hot tub use 10. Secondary Syphilis - Can present with a generalized symmetric, non-pruritic rash (often on palms/soles too) - Systemic symptoms may include malaise, fever, sore throat - Confirm with RPR/VDRL and FTA-ABS Great! Here's a comparison table of the top differential diagnoses for a 25 - year-old male presenting with a pruritic rash on the upper body , ideal for your Course 6512 I-Human Week 4 case. This table can be included in your SOAP note, PowerPoint, or case report:
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Includes full patient encounter documentation:
Diagnosis Onset Distribution Key Features Diagnostics Allergic Contact Dermatitis Acute Exposed areas; linear Vesicles, erythema, pruritus, outdoor exposure Clinical history, patch test Irritant Contact Dermatitis Acute/Chronic Hands, thighs Erythema, dryness, scaling Clinical diagnosis Scabies Weeks Interdigital, waistline, genitals Burrows, nocturnal pruritus Skin scraping Tinea Corporis (Ringworm) Gradual Trunk, arms, thighs Annular lesions, raised borders, central clearing KOH prep Pityriasis Rosea Self-limiting Trunk Herald patch, oval salmon-colored plaques Clinical Drug Eruption 1 - 2 weeks post- drug Symmetrical trunk/limbs Maculopapular, possibly febrile Medication review, eosinophils Final Diagnosis: Allergic Contact Dermatitis (ACD) Plan
Learning Objectives