NR 511 Week 4 Midterm Study Guide: March 2021
-
$25.00
| Term | Spring 2021 |
| Institution | NR 511 Differential Diagnosis and Primary Care Practicum |
| Contributor | Alan Burton |
Dermatology
- Actinic keratosis most common precancerous skin lesion in light skinned patients, more common in patients 50 years or older (most common in Celtic, Irish, and Scottish descent)
Found in sun exposed areas
Caused by skin cells that accumulate from repeated sun exposure
Pathophys: continued sun damage from UV radiation damages the DNA in epithelial cells Primary lesions: macules or plaques, poorly circumscribed Secondary lesion: erythematous and scaly (May feel like sandpaper when touched)
Not an aggressive form of cancer if/when it changes to squamous cell unless on the lip
Patient complaints subjective: irritated, rough or scaly rash, pruritus, tenderness or stinging sensation Objective findings: reddened, scaly, rough, or uneven surfaces. Hard or spiny lesion. Sandpaper like texture.
Diagnostic tests: fluorescence using photosensitizing drug (methyl ester of 5-aminolevulinic acid) over area of concern will have a pink fluorescence with the wood’s lamp
Treatment: no evidence to support removal of lesion as most will not turn cancerous however it is standard to REMOVE the lesion(s) Topical Therapy:................. Continue
| Instituition / Term | |
| Term | Spring 2021 |
| Institution | NR 511 Differential Diagnosis and Primary Care Practicum |
| Contributor | Alan Burton |
-80x80.JPG "NR 511 Week 8 Reflection: June 2020v2")
