Dermatologic and Musculoskeletal Disorders

Dermatologic and Musculoskeletal Disorders

NR507

NR 507 DeVry Week 6 Discussions Latest

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?

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 1)

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?

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?

ADDITIONAL INFORMATION;

Dermatologic and Musculoskeletal Disorders

Introduction

There are many different musculoskeletal and dermatologic disorders. In this article, I will cover the most common types of these disorders.

Psoriatic arthritis

• Psoriatic arthritis is a chronic disease that causes inflammation in the skin and joints.

• Symptoms of psoriatic arthritis include:

• Pain, stiffness, and swelling in your hands, feet, knees and spine (back)

• Swelling around your eyes or mouth (inflamed gums)

Gout

Gout is a form of arthritis that causes severe pain and swelling in the joints. It can affect the big toe, but it can also affect other joints such as your knee and ankle. The condition is caused by high levels of uric acid in the blood, which forms crystals when it comes into contact with sulfur-containing foods (such as meat or alcohol) or environment (such as hot water pipes). These crystals deposit on bone tissue, leading to inflammation and damage that results from repeated attacks over time.

Gout occurs when large deposits of uric acid form crystalline substances called monosodium urate (MSU) crystals within these affected areas usually just around joints where they rub against each other often times causing inflammation while also causing pain when pressure is applied onto them due to their size being larger than normal compared  to other parts like hands/feet etc..

Osteoarthritis

Osteoarthritis is a degenerative joint disease that causes pain, stiffness, and swelling in the joints. It is common in people over the age of 50. This condition can affect any joint in your body, but usually occurs in the hands, knees and hips.

There is no cure for this condition; however treatments such as exercise, medications and surgery may help relieve symptoms and slow down its progression if you have severe symptoms or are at risk for developing chronic osteoarthritis (OA).

Rheumatoid arthritis

Rheumatoid arthritis is a chronic autoimmune disease that causes inflammation in the joints. The most common symptoms are joint pain and stiffness, but you may also have swelling of the fingers or toes, muscle aches and tenderness.

Rheumatic fever occurs when you have an infection with group A streptococcus bacteria (GAS). It’s usually milder than rheumatoid arthritis and it can be prevented by vaccination.

The link between smoking and diabetes may seem surprising at first glance; however, tobacco use has been linked to both type 2 diabetes and coronary artery disease because of its effects on blood sugar control mechanisms within the body.

Lupus (systemic lupus erythematosus)

Lupus (systemic lupus erythematosus) is a chronic inflammatory disease that can affect the skin, joints, kidneys and brain. It is also known as Systemic Lupus Erythematosus.

Lupus occurs when your immune system mistakes healthy tissue for harmful viruses or bacteria; this process causes an immune reaction. The condition has no cure but there are treatments to ease symptoms including painkillers, steroids and other immunosuppressant medications.

Fibromyalgia

Fibromyalgia is a chronic pain disorder characterized by widespread muscle pain and stiffness, as well as sleep disturbance. It is not accompanied by inflammation or swelling in the affected areas.

Fibromyalgia affects an estimated 3% of the population, making it one of the most common disorders diagnosed today.

Metabolic syndrome

Metabolic syndrome is a group of risk factors that raise your chances of heart disease, stroke, diabetes and other health problems. Risk factors include:

●High blood pressure

●High triglycerides (fat in the blood)

●Low HDL cholesterol (good cholesterol)

●High fasting blood sugar (glucose).

There are many types of musculoskeletal and dermatologic disorders.

There are many types of musculoskeletal and dermatologic disorders. Dermatologic disorders are skin diseases, while musculoskeletal disorders are muscle and bone diseases. The two types of disorders can overlap (e.g., a back problem can cause arthritis).

Many people have some form of arthritis at some point in their lives it’s one of the most common causes of disability worldwide but not everyone who has an arthritic condition will experience symptoms like pain or swelling in joints when they move.

Conclusion

This article has explained the many types of musculoskeletal and dermatologic disorders that patients can develop. It is important for you to know about these diseases so you can be prepared for them and treat them appropriately in order to get back on track with your life as soon as possible.