The likely diagnosis for this 65-year-old man is shingles, otherwise known as herpes zoster viral infection. Varicella zoster viru

Discussion 12

  • The likely diagnosis for this 65-year-old man is shingles, otherwise known as herpes zoster viral infection. Varicella zoster virus reactivation results in the secondary illness known as shingles, which affects nearby nerves and skin. (Sly & Harris, 2018). The dermatomal rash is typically unpleasant yet self-limiting accompanied by pain along the afflicted dermatome, which is usually the first symptom, followed in 2ȁ days by a vesicular eruption(Janniger, 2021).
    Clinical presentation can be grouped into three stages: preeruptive phase, acute eruptive phase, and the chronic phase. Early signs and symptoms include:
    • Tingling or burning where the lesions are
    • fever
    • headache
    • myalgia
    • malaise (Sly & Harris, 2018)
    • The acute eruptive phase consists of:
    • development of painful rash
    • tingling in the vicinity of the injured nerve
    • fluid filled blisters arise
    • blisters that were liquid-filled rupture and crust in 7-10 days (Shingles (Herpes Zoster), 2021)
    • The history and physical findings are the main factors used to make a diagnosis. In immunocompromised patients, labwork may be ordered such as:
    • vesicular fluid or a corneal lesion being tested with direct fluorescent antibodies (DFA)
    • polymerase chain reaction (PCR) of blood, vesicular fluid, or a corneal lesion
    • vesicular fluid tzanck smear (Janniger, 2021)
    • Differential Diagnoses include:
    • Acne Keloidalis Nuchae (AKN)
    • acneiform Eruptions
    • allergic Contact Dermatitis
    • cellulitis
    • chickenpox
    • dermatologic Manifestations of Herpes Simplex
    • acneiform Eruptions
    • insect Bites (Janniger, 2021)
    • Antivirals are employed in the treatment of shingles to lessen the duration and intensity of the condition. They ought to be started as soon as the rash shows for the best outcomes. These drugs include acyclovir, valacyclovir, and famciclovir as examples (Shingles (Herpes Zoster), 2021). 

      References
      Janniger, C. K. (2021, August 21). Herpes Zoster. Medscape. https://emedicine.medscape.com/article/112465-overview
      Shingles (Herpes Zoster). (2021). CDC. https://www.cdc.gov/shingles/index.html
      Sly, J. R., & Harris, A. L. (2018). Recombinant zoster vaccine (shingrix) to prevent herpes zoster. Nursing for Women's Health, 22(5), 417ȁ422. https://doi.org/10.1016/j.nwh.2018.07.004

    Place your order
    (550 words)

    Approximate price: $22

    Calculate the price of your order

    550 words
    We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
    Total price:
    $26
    The price is based on these factors:
    Academic level
    Number of pages
    Urgency
    Basic features
    • Free title page and bibliography
    • Unlimited revisions
    • Plagiarism-free guarantee
    • Money-back guarantee
    • 24/7 support
    On-demand options
    • Writer’s samples
    • Part-by-part delivery
    • Overnight delivery
    • Copies of used sources
    • Expert Proofreading
    Paper format
    • 275 words per page
    • 12 pt Arial/Times New Roman
    • Double line spacing
    • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

    Our guarantees

    Delivering a high-quality product at a reasonable price is not enough anymore.
    That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

    Money-back guarantee

    You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

    Read more

    Zero-plagiarism guarantee

    Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

    Read more

    Free-revision policy

    Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

    Read more

    Privacy policy

    Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

    Read more

    Fair-cooperation guarantee

    By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

    Read more