Advanced assessment: interpreting findings and formulating by Mary Jo Goolsby EdD MSN ANP-C CAE FAANP, Laurie Grubbs

By Mary Jo Goolsby EdD MSN ANP-C CAE FAANP, Laurie Grubbs PhD MSN ANP-C

AJN 2006 Award WinnerUnique in its technique, this new ebook takes clients past the identity of actual overview abnormalities to reach at a differential prognosis of the patient's ailment. Readers how to include actual exam, sufferer historical past, and diagnostic stories to safely analysis a patient's problem.

Incorporates details at the interpretation of review findings

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Lipid studies will reveal elevations. Copyright © 2006 F. A. Davis. 24 Advanced Assessment and Differential Diagnosis by Body Regions and Systems White Lesions PITYRIASIS ALBA The cause of pityriasis alba is unknown. It is very common in children and young adults. Signs and Symptoms. There are usually no symptoms associated with the lesions, although patients complain of mild pruritus on occasion. There is commonly a family history of atopic diseases, such as asthma and eczema. Occurrence often has a seasonal pattern.

Although the color varies, the most common coloring is that of coffee. Physical findings include signs of accompanying conditions. Diagnostic Studies. Biopsy reveals specific characteristics. GIANT HAIRY PIGMENTED NEVUS These are congenital lesions. Hairy pigmented lesions vary in size. The ones classified as “giant” are over 20 cm in diameter in adults and adolescents. In infants and children, giant lesions cover at least 5% of the body surface area. The lesions have a high likelihood of becoming malignant.

The sites include area exposed to wear-and-tear pressures, often against bony prominences, such as on the hands and feet. Unlike warts, these lesions will not reveal pin-point black dots and bleeding if pared or scraped. Diagnostic Studies. None needed. Raised, Skin-Colored Lesions BASAL CELL CARCINOMA (PLATE 8) Basal cell carcinoma is the most common form of human malignancy and involves sunexposed skin. This malignancy is generally very slow growing. However, it can become quite destructive and invasive if not diagnosed and treated in a timely manner.

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