Bed Bug Bites A 33 year old male arrives to the 7th Group Troop Medical Clinic (TMC) complaining of several, small sores on the left arm for two days. Patient states they are annoying due to the urge to itch them, but otherwise not painful. Patient noticed them while returning from a one week, temporary duty assignment at Fort Bragg, NC. Skin lesions are often difficult to assess only by visual inspection. Diagnostic testing, a history related to chief complaint and a provider’s experience may all be necessary to reach a definitive diagnosis. Diagnostic testing for presentations similar to this are not common, unless the lesion becomes persistent or reoccurring. In this case, the primary provider had the experience to ascertain the cause. The student could only categorize it as a skin lesion from possible …show more content…
It is believed that is not the case with this patient. Other differential diagnoses can include nummular dermatitis, secondary to another insect or skin injury, and allergic contact dermatitis. The likelihood of the chief complaint being secondary to bites of another type of insect is highly-probable, but the patient denies remembering an occurrence when he received several insect bites on his forearm. The likelihood of allergic contact dermatitis is probable, but the pattern of round macules is more consistent with bed bug bites than an allergic reaction. If the chief complaint becomes persistent, patient can request a follow-up for additional evaluation. Since this case is not severe, treatment plan will consist of keeping the infected area clean with soap and water. Hydrocortisone 1% will relieve pruritus and inflammation (Schissel, 2001). If condition does not improve in five days, conduct follow-up at the TMC. The bites should heal over the next several
Arch Dermatol. 2007;143(1):124–125. Puchenkova, S. G. (1996). "
Barone, Eugene J., Judson C. Jones, and Joann E. Schaefer. "Hidradenitis Suppurativa." Skin Disorders. Philadelphia: Lippincott Williams & Wilkins, 2000. 21-25. Print.
On an endless road of meadows and half collapsed barns exists a quaint town living its motto “The City of Progress”. Enterprise, Alabama is stuck between miles of bleak pastures and feeding cows, but the peanut factory overwhelms your every breath. The monotonous drive does have a reward, and it can only be found hiding in a valley of small stores and baptist churches on downtown’s main street. It is a statue that reminisces this town’s story of triumph over its struggling economy during the decline of cotton. Sculpted from stone, a woman is presenting a boll weevil in honor for its efforts in destroying the crop, cotton, Enterprise, Alabama’s main economic source.
may last one to three weeks. In many cases new clusters of blisters appear as
There are several signs of an active infestation. Most commonly an individual (designated The Host) will be experiencing bites. The tell-tale bite marks can appear on the face, neck, arms, hands, or any other body parts while sleeping. More than one individual in a household may experience bites, some may not have as strong of a reaction to the bites as others. Bites may appear as red bumps on the skin.
The reporting party (RP) is the sister of resident Vincent Burton age 62. The RP stated visited has lived in the facility for approximately 2 years. During a visit on 8/19/16 she observed Vincent's room number 7 to be "filthy." According to the RP her brother's mattress is in dis-repair and is infested with bed bugs. Additionally the mattress was stained with mold. Subsequently there was mold on the walls, ceiling, and floor. The floor was "filthy" and required mopping. The bedbug situation was dire; resident had bedbugs in his ears and hair. During the visit the RP took her brother to the Barber Shop to have his hair removed. Bedbugs were observed in the resident's hair as it was cut. Consequently the RP went to a "CVS" store and obtained
3. History of melanoma. There is no evidence of new or recurrent melanoma noted. Please return to the dermatology clinic in 3-4
2) Swelling 3) Pus like draining. 4) Tender areas 5) An area of the skin that is cooler and warmer
Ecthyma gangrenosum is an infection associated with Pseudomonas bacteraemia. Usually Ecthyma gangrenosum appears in people who have lowered immunity or somewhere where the skin has broken down and is left exposed. This is how it can affect people with athletes foot, as their skin wears away and becomes raw and exposed. The first lesions to appear are observed as painless, round, red patches in the skin which swiftly become filled with pus with surrounding redness. A blister forms in the middle and as it spreads, it evolves into a gangrenous ulcer with a black or grey scab surrounded by a red ring. In as little as 12 hours, an early lesion can transform into a necrotic ulcer (DermNet NZ Trust,
This patient has several areas of skin breakdown. This is why the nurse should include impaired skin integrity in the plan of care. The first site of skin breakdown is located on his buttocks. It is a stage three pressure ulcer with sloughing and eschar present. While assessing this wound, the nurse should observe for any new signs of infection such as new odor, changes in discharge, and changing of wound appearance while informing the patient and care giver to report any of these symptoms. Wound care should be performed with dakin’s solution. Another wound is located on the upper back. This wound is from the thoracotomy that was performed on 08/05. The third wound is a small skin tear located on the left arm. The nurse should dress these wounds
Each one of these types has different featuresthat distinguishes it from the other types. The first type is atopicdermatitis, which is characterized by a perpetual kind of dermatitis described by itchy and inflamed skin, and it is likely to affect people with a history of asthma and feed fever. The second type is dyshidrotic dermatitis, a type of dermatitis that includes aggravation of the skin on the palms of handsand the soles of the feet. In addition, it is identified by blisters that cause a burning sensation. The third type is nummulardermatitis which is described by round, secluded patches of skin that are located on the back, arms, and the lower legs. Another type isexfoliative dermatitis, which is a sort of dermatitis is portrayed by thick, red, and textured skin everywhere throughout the body. Additionally,seborrheicdermatitis isa type that appears as yellowish, slimy, textured patches of the skin on the scalp, face, ears, and different parts of the body, and this type isalso known asdandruff. The last type of eczema is stasisdermatitis which is a kind of dermatitis that is frequently found in legs with varicose veins and its pigmentation is normally darker, or purplish-red in shading subsequently of blood clot in the leg veins.
There are many different skin conditions that exist. Often the similar characteristics of the conditions make it difficult for medical professionals to diagnose. A few of the most common skin conditions are eczema, contact dermatitis, and psoriasis.
There are many different types of treatments out there. There are both prescribed medicines and over the counter medications. Specialized over the counter medications for ringworm and other fungal infections have been shown to reduce the time needed to heal. In some cases oral medications may be needed. Always consult you veterinarian or doctor before trying any form of treatment, including over the counter medications.
Follow up with the provider in two weeks to reassess for a secondary infection and assure that scabies are
An angry red bump glares amidst the smooth, porcelain white surface. It is a pimple, a clogged gland, a girl’s worst nightmare. Acne is one of the most common afflictions that affect the integumentary system, a human organ system comprised of the skin, hair, and nails. When serious complications in the integumentary system arise, patients need to seek a certain type of doctor, a dermatologist. The American Academy of Dermatology defines dermatologists as those who “diagnose and treat more than 3,000 different diseases...[in] their patients’ skin, hair, and nails” (“Why See”). Unlike cosmetic or plastic surgeons, dermatologists do not focus on surgical aesthetic enhancements, though they can subspecialize in cosmetic dermatology; most dermatologists