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Mystery Diagnosis- Skin Diseases and DisordersYou are doctors. Each of you has a patient who has come in with some mysterious symptoms. Your job is to do the following:Identify the disease/disorder your patient is suffering from.Describe the disease – what is it?What is the cause of the disease?How will you treat your patient? What is the prognosis of the disease (the likely outcome, will the individual improve? If yes, how much? Will they ever completely heal?) Could this be prevented? If yes, how? You must cite your references, this should be done accurately. If you don’t know how to do this, go to (I can help with this if you ask BEFORE the due date.)You will present your findings to your fellow doctors in a brief presentation. You must have at least 3 visuals on a PowerPoint to show your colleagues. Your PowerPoint will have MINIMAL typed information. You may use notecards for your presentation. You may NOT simply read the cards, they are simply your notes. The presentation must be in your own words. How you will be graded:476250090170RequirementPoints PossiblePoints ReceivedIdentification of disease (you must summarize symptoms)4Description7Cause6Treatment7Prognosis6Prevention63 visuals3References cited correctly32545715236220Quality of presentation8Total Points50 12192001066801Pimple-like irritations, burrows or rash of the skin, especially the webbing between the fingers; the skin folds on the wrist, elbow, or knee; shoulder blades.Intense itching, especially at night and over most of the body.Small children or babies may have involvement of the face, scalp, palms of the hands, or soles of the feet.2Rash, begins looking like a bad sunburn with tiny bumps and it may itch. The rash usually appears first on the neck and face, often leaving a clear unaffected area around the mouth. It spreads to the chest and back, then to the rest of the body. Aside from the rash, there are usually other symptoms that help to confirm a diagnosis, including a reddened sore throat, a fever above 101 degrees Fahrenheit (38.3 degrees Celsius), and swollen glands in the neck. The tonsils and back of the throat may be covered with a whitish coating, or appear red, swollen, and dotted with whitish or yellowish specks of pus. 3Benign growthsAre located on the face, chest, shoulders, back, or other areas Are yellow, brown, black, or other colors May have a rough or wart-like texture Often may have waxy surface Have a round-to-oval shape4Single or multiple, discrete, dry, rough, adherent scaly lesions occur on the habitually sun-exposed skin of adults Rough and dry textured skin lesion A macule, patch, or growth on the skinItch, burn, or stingRange in size from 1 to 3 mm or larger (about the size of a small pea)Be numerous, with several patches close togetherBe surrounded by red, irritated skin.5Erythema, widespread detachment of the superficial layers of the epidermis, resembling scalding, and occurring mainly in newborns and infants younger than 2 years.crusted infection site, often around the nose or ears red, painful areas around infection site blistering, fever, chills, weakness, fluid loss top layer of skin begins peeling off in sheets6Bruising: purplish areas on the skin or mucus membranes (such as in the mouth) due to bleeding. The bruises may occur for no apparent reason. Petechiae: pinpoint red spots on the skin (typically the legs) that often occur in groups and may look like a rash. The spots are due to bleeding under the skin.Bleeding that is hard to stop. Heavy menstrual bleeding in women. Blood in the stool 7red spot on the skin, enlarging to an ulcer enlarged lymph nodes of groin or armpits headache, muscle pains possible conjunctivitis shortness of breath fever, chills, sweating, weight loss, joint stiffness8Red, itchy rash on the skin that usually appears first on the abdomen or back and face, and then spreads to almost everywhere else on the body, including the scalp, mouth, nose, ears, and genitals. The rash begins as multiple small, red bumps that look like pimples or insect bites. They develop into thin-walled blisters filled with clear fluid, which becomes cloudy. The blister wall breaks, leaving open sores, which finally crust over to become dry, brown scabs. Some children have a fever, abdominal pain, sore throat, headache, or a vague sick feeling a day or 2 before the rash appears. These symptoms may last for a few days, and fever stays in the range of 100°–102° Fahrenheit (37.7°–38.8° Celsius), though in rare cases may be higher. Younger kids often have milder symptoms and fewer blisters than older children or adults. 9White patches (depigmentation) on the skin. These patches are more common in sun-exposed areas, including the hands, feet, arms, face, and lips. Other common areas for white patches to appear are the armpits and groin and around the mouth, eyes, nostrils, navel, and genitals.Generally appears in one of three patterns. In one pattern (focal pattern), the depigmentation is limited to one or only a few areas. Some people develop depigmented patches on only one side of their bodies (segmental pattern). But for most people, depigmentation occurs on different parts of the body (generalized pattern). In addition to white patches on the skin, people may have premature graying of the scalp hair, eyelashes, eyebrows, and beard. People with dark skin may notice a loss of color inside their mouths.10Red patches of skin covered with silvery scalesSmall scaling spots (commonly seen in children)Dry, cracked skin that may bleedItching, burning or sorenessThickened, pitted or ridged nailsSwollen and stiff jointsPatches can range from a few spots of dandruff-like scaling to major eruptions that cover large areas.Goes through cycles, flaring for a few weeks or months, then subsiding for a time or going into remission.11Red to brownish-gray colored patchesItching, which may be severe, especially at nightSmall, raised bumps, which may leak fluid and crust over when scratchedThickened, cracked or scaly skinRaw, sensitive skin from scratchingThough the patches can occur anywhere, they most often appear on the hands and feet, in the front of the bend of the elbow, behind the knees, and on the ankles, wrists, face, neck and upper chest.12Red areas on your faceSmall, red bumps or pustules on your nose, cheeks, forehead and chin (but not the same as whiteheads or blackheads)Red, bulbous nose (rhinophyma)Visible small blood vessels on your nose and cheeks (telangiectasia)Burning or gritty sensation in your eyes (ocular rosacea)Tendency to flush or blush easily13The signs and symptoms usually affect only a small section of one side of your body. These signs and symptoms may include: Pain, burning, numbness or tinglingA red rash that begins a few days after the painFluid-filled blisters that break open and crust overItchingSome people also experience: Fever and chillsGeneral achinessHeadache, Fatigue14Small, painful, fluid-filled blisters on a raised, red area of your skin, typically around the mouthPain or tingling, called the prodrome, which often precedes the blisters by one to two daysUsual duration of 10 to 14 days15A circular rash on your skin that's red and inflamed around the edge and healthy looking in the middleSlightly raised expanding rings of red, scaly skin on your trunk or faceA round, flat patch of itchy skin17Usually begins as a small area of tenderness, swelling, and redness that spreads to adjacent skin. As this red area begins to enlarge, the affected person may develop a fever -- sometimes with chills and sweats -- and swollen lymph nodes ("swollen glands") near the area of infected skin.16Blistering of your skin — how widespread and severe depends on the typeDeformity or loss of fingernails and toenailsInternal blistering, including on the throat, esophagus, upper airway, stomach, intestines and urinary tractSkin thickening on palms and soles of the feet (hyperkeratosis)Scalp blistering, scarring and hair loss (scarring alopecia)Thin-appearing skin (atrophic scarring)Tiny white skin bumps or pimples (milia)Dental abnormalities, such as tooth decay from poorly formed tooth enamelExcessive sweatingDifficulty swallowing (dysphagia)18Red sores that quickly rupture, ooze for a few days and then form a yellowish-brown crustItchingPainless, fluid-filled blistersIn the more serious form, painful fluid- or pus-filled sores that turn into deep ulcers19Following the incubation period, a sudden onset of flu-like signs and symptoms occurs. These include: FeverOverall discomfortHeadacheSevere fatigueSevere back pain Sometimes vomiting, diarrhea or bothA few days later, flat, red spots appear first on your face, hands and forearms, and later on your trunk. Within a day or two, many of these lesions turn into small blisters filled with clear fluid, which then turns into pus. Scabs begin to form eight to nine days later and eventually fall off, leaving deep, pitted scars. The rash is usually most noticeable on the palms of your hands and the soles of your feet. Lesions also develop in the mucous membranes of your nose and mouth and quickly turn into sores that break open, spreading the virus into your saliva. 20Itching, stinging and burning between your toesItching, stinging and burning on the soles of your feetItchy blistersCracking and peeling skin, especially between your toes and on the soles of your feetExcessive dryness of the skin on the bottoms or sides of the feetToenails that are thick, crumbly, ragged, discolored or pulling away from the nail bed21Clusters of small red bumps that develop around hair folliclesPus-filled blisters that break open and crust overRed and inflamed skinItchiness or tenderness22Small, fleshy, grainy lesions, or growths, on the soles of your feetHard, thickened skin (callus) over a well-defined "spot" on the skin, where a wart has grown inwardsBlack pinpoints, which are commonly called "wart seeds" but are actually small, clotted blood vesselsLesions that interrupt the normal lines and ridges in the skin of your feetPain or tenderness when walking or standing23White, oily looking flakes of dead skin that dot your hair and shoulders, and an itchy, scaling scalp. The condition may worsen during the fall and winter, when indoor heating can contribute to dry skin, and improve during the summer.26Frequent, noticeable, excessive sweating that can soak through clothingAbnormally excessive and bothersome perspiration on your feet, underarms, head or faceClamminess or dripping of sweat droplets on the palms of the hands or the soles of your feet24Dry, scaly skinTile-like, small scales, in polygon shapesScales colored white, dirty gray or brown — with people with darker skin tending to have darker colored scalesFlaky scalpDeep, painful cracks in your palms and soles in severe casesThe scales usually appear on your elbows and lower legs and may be especially thick and dark over your shinsSymptoms usually worsen or are more pronounced in cold, dry environments and tend to improve or even resolve in warm, humid environments25Purplish, flat-topped bumps may appear anywhere on the body, but they are most often located on the inner forearm and near the wrists or ankles. Other common locations include the lower back, neck and legs.Bumps may appear in lines along creases in the skin, in clusters, or along the site of a scratch or other injury.Bumps may appear to be covered with fine, lacy white lines.The affected skin is often itchy.Rarely, the bumps become crusty, scabby or blistery.The lesions rarely scar unless they are scratched deeply.When the lesions eventually disappear, the skin may have a dark brownish discoloration that may eventually fade away.27Painful, red, swollen area around the nail, often at the cuticle or at the site of a hangnail or other injury. There may be pus-filled blisters, especially with a bacterial infection.28Itchy skin in a single, limited areaLeathery or scaly texture to the skinRaised, rough patch that is red or darker than the rest of your skinThe primary symptom is itchy skin — often a single patch on the neck, wrist, forearm, thigh or ankle.29The primary feature is the appearance of blisters. Characteristics of the blisters include the following: Blisters are large, filled with fluid and don't easily rupture when touched.Fluid inside the blisters is usually clear but may contain some blood.Skin around the blisters may appear normal, reddish in people with light skin color or darker than normal in people with dark skin color.Blisters can appear anywhere on the body, but they are most often on the abdomen, groin, inner thighs and arms. Blisters are often located along creases or folds in the skin, such as the skin on the inner side of a joint.The site of a ruptured blister may be painful or sensitive.Others symptoms include: Hives. Raised, red or dark patches of swollen skin (hives) may appear before the development of blisters. In some cases, hives may be the only skin lesion to develop.Itching. The affected areas of skin are usually very itchy.Mouth sores. You may develop blisters or sores in the mouth and, rarely, on other mucous membranes.30Draining sores in the skin, especially on the chest wall from lung infection with ActinomycesFeverMinimal or no painSwelling or a hard, red to reddish-purple lump on the face or upper neckWeight loss31An itchy sore develops that is similar to an insect bite. This sore may blister and form a black ulcer (sore).The sore is usually painless, but it is often surrounded by swelling.A scab often forms, and then dries and falls off within 2 weeks. Complete healing can take longer.32Attacks most often last 4 - 8 weeks. Symptoms may disappear by 3 weeks or last as long as 12 weeks.The rash starts with a single large patch called a herald patch. After several days, more skin rashes will appear on the chest, back, arms, and legs.The skin rashes:Are often pink or pale redAre oval in shapeMay be scalyMay follow lines in the skin or appear in a "Christmas tree" patternMay itch33The outer layer of skin (epidermis) and part of the underlying layer of skin (dermis) is damaged or lost.The ulcer may appear as a shallow, pinkish-red, basin-like wound.It may also appear as an intact or ruptured fluid-filled blister.34Blackheads. Small pitted areas of skin containing blackheads, often appearing in pairs or a "double-barreled" pattern.Red, tender bumps. These bumps, or lesions, often enlarge, break open and drain pus. The drainage may have an unpleasant odor. Itching, burning and excessive sweating may accompany the bumps.Painful, pea-sized lumps. These hard lumps, which develop under the skin, may persist for years, enlarge and become inflamed.Leaking bumps or sores. These open wounds heal very slowly, if at all, often leading to scarring and the development of tunnels under the skin. ................
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