By Mary Jo Goolsby EdD MSN ANP-C CAE FAANP, Laurie Grubbs PhD MSN ANP-C

ISBN-10: 0803613636

ISBN-13: 9780803613638

AJN 2006 Award WinnerUnique in its strategy, this new ebook takes clients past the identity of actual overview abnormalities to reach at a differential prognosis of the patient's illness. Readers easy methods to contain actual exam, sufferer historical past, and diagnostic experiences to competently analysis a patient's problem.

Incorporates info at the interpretation of review findings

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Extra resources for Advanced assessment: interpreting findings and formulating differential diagnoses

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Davis. Skin 25 Brown Lesions FRECKLES Freckles are usually benign lesions. They are responsive to sun exposure, usually becoming more evident in response to sun. Found in most individuals. Signs and Symptoms. Asymptomatic. Tan to brown macules ranging 1–5 mm in diameter. The color is consistent on an individual. NEVI Melanocytic nevi are extremely common and have genetic predetermination for the number, distribution, and coloring among individuals. Nevi reflect “nests” of melanocytes with hyperpigmentation.

It is described as a “butterfly rash” because the distribution resembles a but- Copyright © 2006 F. A. Davis. Skin 29 terfly’s wings, as it overlies the forehead and cheeks. Other skin manifestations include discoid plaques, generalized photosensitivity, and lesions of erythema nodosum. Diagnostic Studies. See Chapter 13. LICHEN PLANUS Lichen planus is believed to be a cell-mediated response. The highest incidence occurs in the winter months. Signs and Symptoms. The lesions emerge initially on the extremities and then become generalized over a period of days to weeks.

The border of the lesion typically has a “rolled” appearance. However, basal cell carcinoma appears in several variants and can be flat, hyperpigmented, and/or have very indistinct margins. Diagnostic Studies. The diagnosis is made by biopsy. SQUAMOUS CELL CARCINOMA (PLATE 26) Squamous cell carcinoma is second in prevalence only to basal cell carcinoma and also involves sun-exposed areas of skin. These carcinomas are more rapidly growing and can become invasive over time. Copyright © 2006 F. A. Davis.

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Advanced assessment: interpreting findings and formulating differential diagnoses by Mary Jo Goolsby EdD MSN ANP-C CAE FAANP, Laurie Grubbs PhD MSN ANP-C

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