Integumentary and Sensory Function Diagnosis of Mr. Brayton’s case study
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Course
Nursing
Institution
Nursing
Ms. Brayton, 26 years of age, is undergoing a routine physical examination when she asks, “What do you think this is?†as she points to an erythematous rash on her right thigh. The area is about three inches in diameter.
The nurse practitioner performs a scan of the rest of Ms. Brayton...
Mr. Brayton’s case is a fungal infection, which often mimics annular lesions. From
the nurse assessment, the clinical manifestations of this particular case could be Tinea
Corporis. It is the most common fungal infection with an incubation timeline of 1-3 weeks
and presents with circular lesions, sharply circumscribed, scaly patches, well-demarcated
with raised edges. The liaison is commonly caused by T. tonsurans, T. rubrum,, and
Microsporum canis (Yee & Al Aboud, 2019). Tinea Corporis a dermatophyte infection often
affects the skin areas except the face, feet, hands, groin, and scalp, and often presents in a
circular erythematous rash. As a superficial dermatophyte infection, it mostly affects the
extremities or the trunk, Mr. Brayton has a rash on the trunk and right thigh with circular
lesions. From this assessment, the possible diagnosis for the fungal infection is Tinea
Corporis infestation; however, to fully confirm the specific fungal infection, the nurse should
perform fungal preparation tests using potassium hydroxide.
Treatment
The patient needs both pharmacotherapy and non-pharmacologic measures to treat
Tinea Corporis. Non-pharmacologic measures is important to avoid fungi, which often thrive
in warm and moist environment, thus the patient should wear loose-fitting and light clothing,
and keep the skin dry and clean. Standard pharmacotherapy for the Tinea Corporis is topical
antifungal applied twice daily. The most common antifungal treatment includes azoles
allylamines, benzylamine, ciclopirox or tolnaftate. If the antifungal therapy fails to treat the
rash, the patient should be given itraconazole, or terbinafine. Mechanical action of Azoles
antifungal agents, such as Miconazole, Itraconazole, or Clotrimazole inhabits the enzyme in
the fungal cell and inhabits ergosterol synthesis. Thus, the treatment inhabits cell membrane
formation in the fungus leading to cellular content leakage, and eventually cell death. Other
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