Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
SUBJECTIVE
A 4‐year‐old female, Abigail, comes to the clinic for evaluation of a rash. She is accompanied to the visit by her mother. According to her mother, Abigail first developed a small, red papule between her nose and her upper lip a few days prior to the appointment today. Her mother thinks that she might have scratched or picked at that area. A few more papules appeared that became fluid‐filled vesicles for a brief amount of time. The fragile roofs of these vesicles quickly sloughed off. The newly eroded skin developed overlying honey‐colored crusts. The patient complains that the rash is sometimes pruritic, so she has been scratching the area. Abigail’s mother feels that the rash is spreading due to Abigail’s manipulation of the area. Abigail has been afebrile and has maintained a normal appetite and activity level by report.
Diet: Adequate and varied.
Elimination: Voids every 3–4 hours. Normal bowel movements daily.
Past medical history: Abigail is a healthy 4‐year‐old with no significant medical history. She does not have any chronic medical problems and has not had surgery.
Family history: One of Abigail’s cousins has a similar rash on her arm. Otherwise noncontributory.
Social history: Abigail and her mother live in a 4‐bedroom duplex with her 2 siblings, a grand-mother, a grandfather, an aunt, an uncle, and 3 cousins. There are no pets in the home. Abigail’s mother works part‐time doing housekeeping for a nearby hotel. She reports that she earns minimum wage. Abigail’s father has not been in contact with the family since before she was born.
Medications: Abigail does not take any medications regularly. Her mother has not given her any oral medications to treat this problem. Her mother did apply some over‐the‐counter 1% hydro-cortisone cream to the area but does not feel that it helped.
Allergies: Abigail is not allergic to any medications. There are no suspected allergies to soaps, detergents, foods, or other environmental factors.
OBJECTIVE
General: Alert, well‐nourished female in no apparent distress. She appears nontoxic and is col-oring pictures calmly during the exam.
Vital signs: Heart rate: 96; respiratory rate: 16; temperature: 98.8°F; height: 40 inches; weight:
42 lbs (19 kg).
HEENT: Moist mucous membranes without ulcerations; nares patent bilaterally without drainage.
Conjunctivae clear without erythema or discharge.
Lymphatic: No cervical, supraclavicular, or occipital lymphadenopathy.
Cardiovascular: Regular heart rate and rhythm; no murmur.
Respiratory: Regular respiratory rate with clear and equal air movement bilaterally.
Skin: Mildly erythematous, confluent plaque of eroded skin inferior to nares and superior to upper lip. Honey‐colored crusts overlying the affected area.
CRITICAL THINKING
Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis?
___Bacterial culture
___Bacterial culture of the nares
___Examination of Tzanck smear
___Fluorescent antibody testing of smears
___Fungal culture
___Gram stain
___Potassium hydroxide (KOH) examination
___Viral culture
What is the most likely differential diagnosis and why?
___Atopic dermatitis
___Herpes simplex virus (HSV)
___Impetigo
What is the treatment plan?
What would the appropriate treatment plan for this diagnosis be if the patient were febrile and/ or showing other signs of systemic illness?
What is the plan for follow‐up care?
Are any referrals needed?
Should the patient stay out of school and/or day care during treatment? If so, for how long?
What, if anything, should be recommended to unaffected household members?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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