1. Describe a patient with an abnormal skin symptom or group of symptoms such as a rash, an itch, redness, a lesion, or wounds. Do not limit yourself to these examples. - What questions would you ask as part of your focused assessment? - What history might be associated with the symptom, if any? - What are the known risk factors for this condition? - What physical examination techniques would you use? - What patient education would you give the patient? - Create a nurse`s note to document your findings. - Find a journal article about these symptoms. 2. Choose one area of the head and neck and then select a common complaint (symptom or group of symptoms) patients may have in that area. For example, you may select headaches, earaches, ringing in the ears (tinnitus), sinus drainage and pain, sore throat and cough, and so on. Do not limit yourself to these examples. - What questions would you ask as part of your focused assessment? - What history would be associated with the symptom? - What are the risk factors for this condition? - What physical examination techniques would you use? - What patient education would you give the patient? - How would you document this? - Find a journal article about this symptom or condition. One reference per question
Assessment 1. Patient complains of excessive itching whenever she runs or jogs. She says that the itchiness starts about 20 minutes of jogging and begins from the ankles and goes up the legs. Sometimes, the itch can rise up the stomach and will prevent her from continuing her exercise. Patient has an active lifestyle and is suffering from this problem for years already. She typically uses Nike Air Max running shoes and running pullover typically made of soft wool or micro fleece. Patient reports no history of skin disease or allergies. Symptoms ease around 3 to 4 hours after cessation of exercise. Treadmill exam with temperature controlled environment performed on the patient. Patient reported difficulty in breathing and leg itching after 20 minutes. Patient registers a 1Â°F increase in core body temperature. Further physical exam shows wheals in the calf and larger red lesions in the areas above the ankle heels. Patient may be suffering from exercise induced anaphylaxis. Issued prescription for antihistamine to be taken before exercise. Also advised patient to avoid exerc...