Patient is a 21 year old female in junior year of college. She has no chronic medical conditions and takes no medications on a regular basis. Her only surgical history is tonsillectomy as a toddler. She is being seen today for complaints of "acne." She was seen previously at her campus health center and was given a script for t-stat pads (erythromycin topical), which she has been using for two weeks and feels her condition has only worsened. She has also tried over the counter benzoyl peroxide face washes BID without aid. It is now winter break and she is home for three weeks from college. She states she feels tired following a busy exam week, but otherwise feels well. She would like her acne resolved before returning to campus!
Vital signs are normal. BMI 24 with a 5 pound weight loss noted since last visit 1 year ago. She attributes that to making healthier choices in campus dining. Physical exam is notable for scattered pustules ranging in size from 1-2cm across cheeks, forehead, chin, and shoulders. Some are erythemic, some white. Some have scabs, others are intact and fluid filled. None are actively draining.
What at should be the next steps for this patient?
This was fantastic! Thanks Blondie. I am a new nurse and the recent case studies that have been presented really make me realize to not take things at face value, and to try to look at the whole. You are Aces!!
Twinmom06, ASN, APN
1,171 Posts
HIV/AIDS related skin lesions?
didn't read till the end first...interesting