nr507 week 6 discussions
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Week 6: Dermatologic and Musculoskeletal
Disorders – Discussion Part
One
This week’s graded topics relate to the
following Course Outcomes (COs).
1 Analyze pathophysiologic mechanisms associated
with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology,
developmental considerations, pathogenesis, and clinical and laboratory
manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic,
adaptive, and compensatory physiological mechanisms can be supported and/or
altered through specific therapeutic interventions. (PO 1, 7)
4 Distinguish risk factors associated with
selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations
in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with
selected disease states. (PO 1)
7 Explore age-specific and developmental
alterations in physiologic and disease states
You are contacted by an attorney representing a
client who has been charged with child abuse and whom faces loss of her child
and 15 years in prison. The record indicated that the child was 4 years old and
presented to the ER room with a broken arm and a broken leg There also appeared
to be multiple previous fractures. Now, you examine the child and find blue
sclera, a sunken chest wall, severe scoliosis, and you observe a triangular
face and prominent forehead. You confirm that there have been multiple previous
fractures by evaluating the previous X-rays. This is a genetic disorder.
§ What is the most likely genetic disease that this presents and
why?
§ What is the molecular basis of this disease?
§ Before, calling the police what should the initial clinician have
done?
Week 6: Dermatologic and Musculoskeletal
Disorders – Discussion Part Two
This week’s graded topics relate to the
following Course Outcomes (COs).
1 Analyze pathophysiologic mechanisms associated
with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology,
developmental considerations, pathogenesis, and clinical and laboratory
manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic,
adaptive, and compensatory physiological mechanisms can be supported and/or
altered through specific therapeutic interventions. (PO 1, 7)
4 Distinguish risk factors associated with
selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations
in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with
selected disease states. (PO 1)
7 Explore age-specific and developmental
alterations in physiologic and disease states. (PO
Johnny is a 5-year-old Asian boy who is brought
to a family practice office with a “runny” nose that started about 1 week ago
but has not resolved. He has been blowing his nose quite frequently and “sores”
have developed around his nose. His mother states, “The sores started as ‘big
blisters’ that rupture; sometimes, a scab forms with a crust that looks like
“dried maple syrup” but continues to seep and drain.” She is worried because
the lesions are now also on his forearm. Johnny’s past medical and family
histories are normal. He has been febrile but is otherwise asymptomatic. The
physical examination was unremarkable except for moderate, purulent rhinorrhea
and 0.5- to 1-cm diameter weeping lesions around the nose and mouth and on the
radial surface of the right forearm. There is no regional lymphadenopathy.
§ Write a differential of at least five (5) possible diagnosis’s and
explain how each may be a possible answer to the clinical presentation above.
Remember, to list the differential in the order of most likely to less likely.
§ Based upon what you have at the top of the differential how would
you treat this patient? differential diagnosis for this clinical presentation
and justify it.
§ When would you allow the student back to school? Elaborate on your
reasoning?
Week 6: Dermatologic and Musculoskeletal
Disorders – Discussion Part Three
Keisha, a 13-year-old female, has come into your
urgent care center. She has red conjunctiva, a cough and a fever of about 104
0C, She also has a rash on her face a possibly the beginning of a rash on her
arms. About 10 days ago she was around another student who had similar
symptoms.
§ What is the differential diagnosis?
§ What are some of the complications of this disease, assume that
the top of your differential is the definitive?
§ Assume that the second item you place on your differential is the
definitive diagnosis. What are some complications of that disease?
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