Dermatology Case Study Discussion Board

Dermatology Case Study Discussion Board

A 72 year old Caucasian male presents in your Primary Care practice for a bump on his nose. He noticed it several months ago but did not seek medical attention since it did not hurt or was not itchy. He thinks it has grown and bleeds easily when irritated.

Past Medical History

Hypertension, controlled on Lisinopril 5 mg daily x 4 years

Allergic rhinitis, uses over-the-counter antihistamines

Denies surgeries or serious illnesses/hospitalizations

Family History

Father, hypertension

Mother, asthma, atopic dermatitis

Brother, atopic dermatitis

Sister, diabetes

Physical Examination

Vital signs; T 98.2, BP 126/78, RR 18, HR 80.

General: Well developed and well appearing. No lymphadenopathy.

Skin: pearly papule on tip of the nose, raised border with central depression. (picture attached)

Discussion Questions:

1. Based on the presentation and PE, what do you think is the most likely diagnosis? Include a brief rationale and cite. In your rationale, include common assessment findings that support your diagnosis and what diagnostic test would confirm your diagnosis.

2. Briefly discuss the guideline for sun exposure protection to decrease skin cancer. Cite.

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