A 42-year-old man comes to the office due to worsening skin lesions.  Three months ago, he noticed scaly patches on his elbows, which rapidly progressed in size and number to involve other body areas.  The lesions are not painful but are mildly pruritic.  The patient also has had stiffness and pain of the hand joints bilaterally for the past 2 weeks.  He has never had similar skin lesions and has no medical conditions other than genital herpes, for which he takes daily suppressive antiviral therapy.  The patient occasionally drinks alcohol but does not use tobacco or recreational drugs.  Temperature is 37.1 C (98.7 F), blood pressure is 130/80 mm Hg, and pulse is 80/min.  Skin examination shows large, erythematous plaques covered by thick, adherent, silvery-white scales on the elbows, knees, torso, and scalp.  When the scales are removed, pinpoint areas of hemorrhage can be observed.  In addition to treating the skin lesions, which of the following diagnostic studies is most appropriate in management of this patient?

A 38-year-old woman comes to the office because of nonpainful, nonpruritic skin lesions over her elbows for the past several months. The lesions began as small papules but have gradually enlarged. Treatment with over-the-counter emollients has been ineffective. She has no history of serious illness and takes no medications. She drinks one glass of wine 1 to 2 nights weekly; she does not smoke cigarettes or use illicit drugs. Her temperature is 37.0°C (98.6°F). Examination of the elbows shows well-defined erythematous plaques with areas of scaling. Scraping of the scales results in pinpoint bleeding. The remainder of the physical examination shows no abnormalities. Which of the following is the most appropriate next step in management?A. Gluten-free dietB. Oral methotrexate therapyC. Oral prednisone therapyD. Patch testingE. Topical betamethasone therapy

The nurse is conducting a morning assessment on a client with a diagnosis of scleroderma. Which of the following manifestations, characteristic to this disease, might the nurse expect to find?Cassidy RhodyID: 112703Question 32Select all that apply:1.Fingers and toes turn blue and white in response to cold2.Burning pain occurs at occipital trigger points3.The client has a temperature of 102.2 ºF (39 ºC)4.The client complains of painful white deposits on the skin5.The client often experiences heartburn following a meal

A 26-year-old man presents to his primary care physician with fatigue, headache, and a sore throat for the past week. There is also nausea and diarrhea, but no weight loss, productive cough, or difficulty breathing. He has no known past medical history, does not take any medications, and has no recent sick contacts. He is sexually active and uses condoms inconsistently; he drinks alcohol heavily on the weekends and has had previous IV drug use. On examination, his temperature is 39°C and the rest of his vital signs are normal. He has nontender cervical and axillary lymphadenopathy, tonsillar exudates, and mild splenomegaly. There are also several painful, well-demarcated ulcers within his mouth and a mild maculopapular rash over his chest and arms. A rapid Strep test and a monospot (heterophile antibody) test are negative; further screening for chlamydia, gonorrhea, syphilis, and HIV antibody is negative. What is the likely diagnosis?Ask StudybuddyGroup of answer choicesUpper respiratory infectionSecondary syphilisHodgkin lymphomaAcute retroviral syndromeInfectious mononucleosis

List two skin problems and their causes.

27-year-old woman comes to an outpatient urgent care facility because of 3 days of joint pain. She reports significant pain in her wrists, ankles, and knees. She also has had a low-grade fever, fatigue, and a new skin rash. The patient does not have a headache, throat pain, abdominal pain, dysuria, vaginal discharge, or vision changes. She has otherwise been healthy and she takes no medications. She recently began a new sexual relationship with a male partner. The patient has an intrauterine device and does not use condoms. One month ago, she traveled to Connecticut for a camping trip with her parents. She drinks alcoholic beverages socially; she does not smoke or use illicit drugs. Temperature is 38.3°C (101°F), pulse is 96/min, and blood pressure is 127/80 mm Hg. Examination shows a clear oropharynx and no cervical or axillary lymphadenopathy. The abdomen is nontender and there is no hepatosplenomegaly. Upper extremity examination discloses pain along the tendon sheaths during passive and active movement of the hands. Lower extremity examination shows a total of six well-demarcated pustular lesions. Which of the following is the most likely diagnosis?A. BlastomycosisB. Gonococcal infectionC. Lyme diseaseD. Reactive arthritisE. Secondary syphilisProceed to Next ItemShow Explanation