Assignment: i-Human Case Study: Kaylee Hayes Evaluating and Managing Integumentary Conditions

Week 2 Evaluation and Management of Integumentary Conditions

CASE STUDY ASSIGNMENT i-HUMAN due Sun midnight: Kaylee Hales

DERMATOLOGY

For this Assignment, you will examine your first i-human case study and work with a patient with an integumentary condition.

There is a steep learning curve just to familiarize yourself with the platform, but once you understand and know how to navigate you will do well.

You MUST go to support@ihuman.com and look at the resources tips and videos they offer to help you navigate iHuman. There is a video, “ask the expert” that will walk you through inhuman step by steps. Open a split-screen and follow along with the Marvin Webster tutorial case. Once you complete a section you cannot go back. Your submission is final, no re-do, re-open, re-send or erase. All 5 cases count 100 points each and 20% of your grade. You will complete the case on the human platform. You will be limited to asking 60 questions and only 40 exams. The questions, exam, dx, and test questions will be graded in ihuman by ihuman. I will only grade your HPI and your plan. Please look for the specifics on the plan posted in “DOC SHARING”. Students that are experiencing technical issues should submit a request using the link on their i-Human homepage or via the web form on https://www.i-human.com/support-3/ to ensure we get the information to assist them.

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Solution

iHuman Case Study – Kaylee Hayes Evaluating and Managing Integumentary Conditions

 

Therapeutics & Non-Therapeutic Modalities

  1. Apply 1% hydrocortisone ointment for dry lesions and cream for wet lesions twice a day for a week.
  2. Apply gauze or thin cloths dipped in water or normal saline to clean the rash and relieve pain
  3. Drain large blisters without removing the roofs (reports of some beneficial effects).

 

Additional Labs or Diagnostic Tests

  1. Patch testing to identify the causative allergen
  2. Skin biopsy to exclude other diagnoses such as tinea and psoriasis

 

Health Promotion

  1. Update your annual flu vaccine schedule by scheduling for vaccination in the next visit
  2. Cut down alcohol consumption as much as possible to avoid its adverse effects such as hypertension and gastric ulcers or malignancies.
  3. Take up healthy living to maintain a healthy BMI and avoid cardiovascular diseases

 

Patient Education

  1. You have possible allergic contact dermatitis that could occur following contact with plants during the hike. The management, for now, is to use an anti-inflammatory agent such as topical hydrocortisone to relieve the symptoms. The cold compresses with water or saline will help relieve the pain and keep the rash clean and avoid a superinfection.
  2. It is paramount that you adhere to the prescribed medication to help manage the disease adequately.
  3. Be on the lookout for any drug adverse effects such as worsening of the rash.
  4. Continue with healthy living through continuous active physical examination and diet modification (cutting down fat, salt, and carbohydrates) to reduce your chances of cardiovascular diseases that seem to be prevalent in your family.

 

Consult With Brief Rational

  1. Dermatologist: For definitive diagnosis and management plan for this patient.

 

Disposition With Rational

  1. Send or discharge home. Return to clinic in a week for assessment of response to treatment.

 

References

Al-Ogtaibi, S., & Alqahtani, H. (2015). Management of Contact Dermatitis. Journal of Dermatology & Dermatologic Surgery, 19(2), 86-91

Buttaro, T. M., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2021). Primary Care: Inter-professional Collaborative Practice (6th Ed.). Elsevier.

Litchman, G., Nair, P., Atwater, A., & Bhutt, B. (2021). Contact Dermatitis. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing

Stefan, M., Rustemeyer, T., & Thyssesn, J. (2018). Recent Advances in understanding and managing contact dermatitis. F1000 Research, 7(F1000 Faculty R