Patient
Age:
Race:
Gender:
Insurance:
SUBJECTIVE
Chief complaint:
History of present illness (HPI):
Past Medical History(PMH)
Last annual physical exam was made in January of current year.
Chronic Condition:
Current Medication:
Hospitalization: Patient denies hospitalizations or invasive procedures.
No history of mental illness or personality disorders.
No physical trauma or falls reported during the last twelve months.
Surgeries:
Exposure: Patient lived in a shelter for two months due to economic problems that were already solved. No knows HIV exposure during the last year. No blood transfusions or received other blood components or tissues.
Environmental exposure was negative to asbestos, radiations or other chemical substances. No exposure to the sunlight during day activities for long periods of time.
Immunizations: Immunizations up to date (Flu Vaccine: 01/23/2019)
Exercise:
Diet:
Social History:
Educational level:
Sexual Behavior:
Allergies:
Family Medical History:
Systemic: The systemic symptoms presented at this time is skin itchy. No chills, no neck rigidity. No weight loss.
Head:
Neck:
Eyes:.
Oto-laryngeal:
Breasts:
Cardiovascular:
Pulmonary:
Gastrointestinal:
Genitourinary:.
Endocrine:
Hematologic:
Musculoskeletal:
Neurological:
Psychological:
Skin:
OBJECTIVE
Physical Exam
Vitals Sign:
Height 70 in
Weight:188 lbs.
Body Mass Index: 29.1 Kg/m2
Body Surface Area: 1.97 m2
Oxygen Saturation: 98 %
Pain Scale/Rate: 0/10
General appearance:
Head:
Neck: .
Eyes:
Ears:
Nose:
Oral Cavity:
Lymph Nodes:.
Chest:.
Lungs:
Cardiovascular:
Abdomen:
Inspection:
Auscultation:
Palpation: .
Percussion:
Genitalia:
Rectal:
Musculoskeletal:
Neurological:
Speech clear and fluent.
Psychiatric:
Skin:
Hair:
Nails:
ASSESSMENT
Primary Diagnosis: B86 Scabies
Differential Diagnosis:
Atopic Dermatitis: is a chronic inflammatory skin condition that appears to involve a genetic defect in the proteins supporting the epidermal barrier.
Impetigo: is a contagious superficial bacterial infection observed most frequently in children. Variants of impetigo include non-bullous impetigo, bullous impetigo, and ecthyma
Folliculitis: Multiple follicular-based erythematous papules or pustules on chest and back.
No burrows seen on physical exam.
Other Diagnosis
Essential Hypertension (Controlled) I10
Overweight E66.3
PLAN
Therapeutic
Permethrin 5% cream, massage thoroughly into the skin from the neck to the soles of the feet x 1 time, cream should be removed by washing after 8 to 14 hours. Apply a second time after two weeks.
Hydroxyzine tab 25 mg BID for 5 days.
Non-Therapeutic
Patient was instructed regarding general measures:
- Treatment for those who were sexual and household contacts within the preceding 1 month is recommended at the same time that the patient is treated to prevent re-infestation.
- Immediately following any treatment, all bedding and clothing should be washed in water that is 140°F or higher (â¥60°C) and dried the day after the first treatment to decrease the chance of re-infestation.
- Clothing or objects that cannot be washed should be placed in a sealed bag for a week. No Test ordered/No needed to this diagnosis Follow-ups/Referrals: Follow-up in 3 weeks. Also, the patient was instrumented to return if the
Sample Solution
right here are several times when a state of affairs can be questioned whether it’s far moral or moral, especially in unemployment. typically there will fall below the 3 simple factors of discrimination in employment. Race and shade discrimination, non secular discrimination or sexual discrimination. it is also vital that a selection isnât made based totally on person benefit or might have a harmful effect on the alternative employees. non secular discrimination is described as treating someone or organization in another way due to their non secular ideals. this can arise in several extraordinary settings which includes employment, society itself, or housing. This stems from the times of religious persecution, wherein you may lose your lifestyles based on what it’s far that you trust in. this is one of the maximum severe sorts of religious discrimination, however despite the fact that, is a truth. Lesser types of punishment could be considered a moderate form or spiritual discrimination or persecution. In many countries and societies, religious freedom is a proper of the people based totally on the regulation, but many nevertheless experience discrimination. In a 1979 consultation on the problem, america fee on Civil Rights described religious discrimination with regards to the civil rights assured by using the Fourteenth amendment to the united states constitution. while spiritual civil liberties, which includes the proper to hold or no longer to hold a non secular perception, are essential for Freedom of faith (within the united states secured via the primary change), spiritual discrimination happens whilst a person is denied âthe same safety of the laws, equality of repute beneath the regulation, same treatment inside the administration of justice, and equality of possibility and get admission to to employment, schooling, housing, public services and centers, and public accommodation due to their exercising of their proper to non secular freedomâ. (Boundless, 2016) however, instances of non secular discrimination may additionally be the end result of an interference of the spiritual sphere with other spheres of the general public which can be regulated with the aid of law. despite the fact that e.g. within the u.s.a. the free exercising Clause of the primary change states that âCongress shall make no regulation respecting an status quo of religion, or prohibiting the free exercise thereofâ, in Reynolds v. america the U.S. superb court decided that spiritual responsibility was not a suitable defense to a criminal indictment. in this precise case a law in opposition to bigamy became no longer considered to be discriminating against Mormons, who stopped practising Polygamy in 189 As an update to the travel ban, on Thursday March 16th, united states of america District judge T>
right here are several times when a state of affairs can be questioned whether it’s far moral or moral, especially in unemployment. typically there will fall below the 3 simple factors of discrimination in employment. Race and shade discrimination, non secular discrimination or sexual discrimination. it is also vital that a selection isnât made based totally on person benefit or might have a harmful effect on the alternative employees. non secular discrimination is described as treating someone or organization in another way due to their non secular ideals. this can arise in several extraordinary settings which includes employment, society itself, or housing. This stems from the times of religious persecution, wherein you may lose your lifestyles based on what it’s far that you trust in. this is one of the maximum severe sorts of religious discrimination, however despite the fact that, is a truth. Lesser types of punishment could be considered a moderate form or spiritual discrimination or persecution. In many countries and societies, religious freedom is a proper of the people based totally on the regulation, but many nevertheless experience discrimination. In a 1979 consultation on the problem, america fee on Civil Rights described religious discrimination with regards to the civil rights assured by using the Fourteenth amendment to the united states constitution. while spiritual civil liberties, which includes the proper to hold or no longer to hold a non secular perception, are essential for Freedom of faith (within the united states secured via the primary change), spiritual discrimination happens whilst a person is denied âthe same safety of the laws, equality of repute beneath the regulation, same treatment inside the administration of justice, and equality of possibility and get admission to to employment, schooling, housing, public services and centers, and public accommodation due to their exercising of their proper to non secular freedomâ. (Boundless, 2016) however, instances of non secular discrimination may additionally be the end result of an interference of the spiritual sphere with other spheres of the general public which can be regulated with the aid of law. despite the fact that e.g. within the u.s.a. the free exercising Clause of the primary change states that âCongress shall make no regulation respecting an status quo of religion, or prohibiting the free exercise thereofâ, in Reynolds v. america the U.S. superb court decided that spiritual responsibility was not a suitable defense to a criminal indictment. in this precise case a law in opposition to bigamy became no longer considered to be discriminating against Mormons, who stopped practising Polygamy in 189 As an update to the travel ban, on Thursday March 16th, united states of america District judge T>
