NUR 634 Topic 6 DQ 1 & 2

Topic 6 DQ 1

Assessment Description

Select one skin, hair, or nail condition or disorder. Then complete the following:

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Briefly discuss the condition/disorder.

Describe the symptoms and physical exam findings associated with the condition/disorder.

Identify appropriate laboratory, imaging, and other diagnostic/screening tools that apply to the disorder and explain how they will help you with your diagnosis.

List two other conditions that could cause a similar presentation (differential diagnoses) and explain how you would “rule out” those differentials.

Support your description with a minimum of two APRN-approved scholarly resources. You may not select a condition or disorder that has already been profiled by another learner; you must select a different one.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.2, 1.3.

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Topic 6 DQ 2

Assessment Description

Practice the physical exam techniques outlined in the topic’s assigned Bates’ Physical Examination Videos and write a reflection on the following:

Identify three techniques that you learned from the videos.

What aspects of the assigned physical examination are you doing well?

What are you going to focus on for improvement as you practice for the skills check off?

Scholarly resources are not required.

Resources

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Bates’ Guide to Physical Examination and History Taking

Required

Read Chapter 10 in Bates’ Guide to Physical Examination and History Taking.

View Resource

Bates’ Visual Guide: 12-Month Access Card to BatesVisualGuide.com With OSCE Clinical Skills Videos

Optional

View and complete video segments 6.1-6.5 in “Volume 6: Skin” in Bates’ Visual Guide: 12-Month Access Card to BatesVisual

https://batesvisualguide.com/

CareOnPoint

Optional

Read “Dermatologic Disorders,” located in the CareOnPoint? application.

http://app.careonpoint.com

A Sample Of This Assignment Written By One Of Our Top-rated Writers

NUR 634 Topic 6 DQ 1

Cutaneous Kaposi Sarcoma (KS) is a rare skin malignancy that often affects HIV-infected persons. The malignancy is associated with Human Herpes Virus-8 (HHV-8) infection and a decline in CD-4 T-cells in HIV-infected persons. The disease is characterized by increased vascularity and lymph node involvement (Russo et al., 2021). The malignancy can also affect other organs, including the respiratory, gastrointestinal, and genito-urinary tract. However, the skin around the neck, arms, face, and legs is the most affected by cutaneous KS. Sometimes, it is common to find cutaneous and visceral KS that is often aggressive but responds to treatment.

Patients with cutaneous KS often present with a history of enlarging pink to purple flat lesions in the skin around the neck, arms, and legs. The lesions may enlarge and increase in number as the disease progresses, tend to bleed easily, and blanch when touched. The patients may also report unintentional weight loss (Wan et al., 2023). On examination, the lesion may appear as macular, papular, nodular, or plaque-like lesions that vary in size and are often brown, red, pink, and purple due to increased vascularity. In addition, the lesions are non-pruritic and florid and may appear linearly, discretely, and confluent. Some patients may present with mucous membrane involvement, especially in the palate and gingiva, and often experience dysphonia.

Confirmatory diagnosis of the disease requires a tissue biopsy for histopathology. Histopathologic findings characteristic of KS includes vascular proliferation in the dermis, increased vessels without an endothelial cell lining, and spindle cell proliferation (Russo et al., 2023). Additional laboratory tests to evaluate the disease include HIV-1 test, C-reactive protein, HHV-8 viral load, and interleukin-6/10 levels. Imaging tests include chest, abdominal, and pelvic computed tomography (CT) and positron emission tomography (PET)/CT (Addula et al., 2021). The two exclude the involvement of visceral Kaposi Sarcoma.

Angiosarcoma and melanoma are the two cutaneous diseases that may present similar to Kaposi sarcoma due to associated hyperpigmentation. The two can be differentiated from Kaposi sarcoma through histopathology (Wan et al., 2023). Melanomas on microscopy reveal nests of malignant melanocytic cells, while angiosarcomas appear as an ill-defined infiltrative vascular mass in the dermis and subcutaneous tissues.

References

Addula, D., Das, C. J., & Kundra, V. (2021). Imaging of Kaposi sarcoma. Abdominal Radiology (New York), 46(11), 5297-5306. https://doi.org/10.1007/s00261-021-03205-6

Russo, I., Marino, D., Cozzolino, C., Fiore, P. D., Nerjaku, F., Finotto, S., Cattelan, A., Calabrò, M. L., Fortina, A. B., Russano, F., Mazza, M., Galuppo, S., Bezzon, E., Sbaraglia, M., Krengli, M., Brunello, A., Mocellin, S., Piaserico, S., & Alaibac, M. (2024). Kaposi’s Sarcoma: Evaluation of Clinical Features, Treatment Outcomes, and Prognosis in a Single-Center Retrospective Case Series. Cancers, 16(4). https://doi.org/10.3390/cancers16040691

Wan, L., Yan, A., Jiang, X., & Hardin, R. (2023). Classic Kaposi Sarcoma: A Comprehensive Case Report on Multisite Involvements and Therapeutic Strategies. Cureus, 16(1). https://doi.org/10.7759/cureus.52553

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NUR 634 Topic 6 DQ 1 & 2