Discussion 1 Select one skin, hair, or nail condition or disorder. 1. Summarize

Discussion 1
Select one skin, hair, or nail condition or disorder.
1. Summarize and discuss the clinical characteristics.
2. Identify the appropriate laboratory, imaging, and other diagnostic and screening tools that apply to this condition or disorder.
3. Explain why you selected these tests or tools as being appropriate to this process.
Support your summary and recommended plan with a minimum of two APRN-approved scholarly resources.
Discussion 2
Add to the SOAP note previously created.
1. Document ROS (Review of systems):
General appearance (NAD, well appearing, alert, interactive) HEENT: (NC/AT, PERRLA, EOMI, good conjugate gaze, nares patent, MMM)
NECK: (Supple, no LAD, Normal ROM)
RESP: (Normal respiratory effort, no wheezing rhonchi, or rales, CTAB)
CV: (RRR, normal s1 /s2, no m/r/g)
ABD: Sort, non-distended, non-tender, normal bowel sounds, no masses)
EXTREMITIES: (Normal tone and ROM, strength and sensation intact, cap refill <2s, 2+ dp equal bilaterally)
MUSCULOSKELETAL
NEURO: (Alert & Oriented x 3, cranial nerves II to XII intact, reflex symmetric, sensation normal, gait normal)
Skin: (Intact, no rashes, no lesions, no erytherma)
This patient is an imaginary patient. This assessment is built on the previous information given prior to this assessment.
Part II – CHF Patient History
Chief Complaint:
Mr. GB is 66 years old, He presented with fatigue and shortness of breath.
History of Present Illness:
Mr. GB presented with shortness of breath which has been worsening over the past 3 months. He finds it difficult to climb a flight of stairs and his exercise tolerance has also drastically reduced. Before the onset of symptoms, he used to walk regularly for about 45 minutes every other day but he can hardly walk for 15 minutes without feeling out of breath. He has also been feeling increasingly fatigued despite good food intake. He has been coughing with the production of whitish sputum. He reports no fever or weight loss. He also finds it difficult to lie flat when he sleeps. He has to prop himself up with two pillows to sleep properly. He has noticed that both his legs are swollen and the swelling pits when he presses on the swelling.
Past Medical History:
He has been hypertensive for 20 years. He had previously been diagnosed with hyperlipidemia and type 2 diabetes mellitus. He had major surgery 10 years ago when he had coronary artery bypass graft surgery. He has been taking his medications regularly and he attends his follow-up appointments.
Previous diagnoses and Treatment:
He was diagnosed with congestive heart failure 5 years ago, and he is on medications. He was admitted about 12 months ago for exacerbation of CHF and was treated with diuretics and oxygen. He was diagnosed with Atrial fibrillation about 15 years ago.
Medication History:
The patient is currently on Metoprolol and Lisinopril for Hypertension. He is also taking Frusemide for hypertension and heart failure. He takes Aspirin daily for secondary prevention of cardiovascular events – Aspirin was started 10 years ago when he heard a heart attack. He takes Apixaban (a blood thinner) and he has been taking this since his diagnosis of Atrial Fibrillation. He takes atorvastatin for his high lipids and takes Metformin for diabetes. He reports no drug allergy.