Dermatological Disorder Diagnosis: Scabies
Instructions
Reflect on a patient who presented with a dermatologic disorder during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s dermatologic disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you did not have an opportunity to evaluate a patient with this background during the last 5 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.
SAMPLE SOLUTION
F.H., a 5-year-old male, presented to the clinic and with constant scratching as the chief complaint. The patient’s stated that the symptoms seemed to have developed about a month a go after the family has settled in new rural home after selling their home in an urban setting. On physical assessment, F.H. had masks all over his body from scratching. There was presence of white, raised and flesh-tone lines.
Differential diagnoses included scabies, potential exposure to poison ivy, and allergic reaction to cosmetics. The father denied having exposed his son to poison ivy since he has not moved to fields, forests, or any garden with F.H. in the last two months. As such, potential exposure to poison ivy was dropped from the differential diagnosis. Poison ivy causes an itchy vesicular eruption (Colbeck & Clayton, 2013). On the other hand, the boy’s mother denied having changed what she has been using as F.H.’s body ointment since birth; hence, allergic reaction to cosmetics was also dropped, leaving scabies as the presumptive final diagnosis. Clinical examination revealed visible white burros on dermoscopy and detection of feces, ova, and mite under light microscopy, which confirmed scabies as the final diagnosis (Anderson & Strowd, 2017).
Sample Solutions
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