K.B. is a 40-year-old white female with a 5-year history of Psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of Psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque Psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.
Case Study 1 Questions:
Name the most common triggers for Psoriasis and explain the different clinical types.
There are several types of pharmacological treatments for Psoriasis. Explain the different types, and indicate which would be the most appropriate approach to treat this relapse episode for K.B.
Include non-pharmacological options and recommendations for Psoriasis.
Medication review and reconciliation are always important for all patients. Describe and specify why in this particular case is important to know what medications the patient is taking.
- What other manifestations could be present in a patient with Psoriasis?
- Sensory Function:
C.J. is a 27-year-old male who started to present crusty and yellowish discharge on his eyes 24 hours ago. In the beginning, he thought that by washing his eyes vigorously the discharge will go away but on the contrary, it increased causing blurry vision, especially in the morning. Once he clears his eyes of the sticky discharge his visual acuity is normal again. Also, he has been feeling a throbbing pain in his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment, you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, and his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging, and red.
- Case Study Questions
- Based on the clinical manifestations presented in the case above, which would be your diagnosis for C.J. Please name why you get to this diagnosis, and document your rationale.
- Any additional diagnosis or complication noted? Explain.
With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not.
Based on your answer to the previous question regarding the etiology of eye affection, which would be the best therapeutic approach to C.J’s problem? Include any additional treatment or approach to any other diagnosis or complication present in this case.