72-Year-Old Male with Nasal Lesion: Assessment, Diagnosis, and Management Guide

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 irrit

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

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Step-by-Step Guide to Tackling This Case-Based Assignment

Step 1: Analyze the Patient Presentation

• Begin by reviewing the key details provided in the case:
  • Patient demographics: 72-year-old Caucasian male.
  • Presenting complaint: A “bump” on the nose, present for several months.
  • Associated symptoms: Grows, bleeds easily, but no pain or itchiness.

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Step 2: Formulate a Differential Diagnosis

1. Think critically about the possible conditions that could present like this:
   • Basal Cell Carcinoma (BCC).
   • Squamous Cell Carcinoma (SCC).
   • Actinic Keratosis.
   • Seborrheic Keratosis.
   • Melanoma.
2. Prioritize the likely diagnoses based on the patient’s history:
   • Chronicity, growth, and bleeding suggest Basal Cell Carcinoma is a top concern.

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Step 3: Review Relevant Clinical Knowledge

• Research the following:
  • Characteristics of Basal Cell Carcinoma: Pearly or translucent border, visible blood vessels, tendency to bleed.
  • Risk factors: Prolonged UV exposure, fair skin, age >50.
  • Other possible skin conditions with similar features.

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Step 4: Outline Your Workup Plan

1. Document a thorough clinical history:
   • Duration, change in size, bleeding frequency, and any other skin lesions.
   • History of sun exposure, personal or family history of skin cancer.
2. Perform a detailed physical exam:
   • Look for classic features of suspected conditions (color, texture, border, ulceration, or crusting).
   • Examine the entire skin surface for additional lesions.
3. Plan for diagnostic tests:
   • Biopsy: Essential to confirm the diagnosis.
   • Dermatoscopy: For detailed visualization of lesion features.

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Step 5: Develop a Management Plan

• Discuss possible treatments:
  • For BCC: Surgical excision, Mohs surgery, or topical treatments like imiquimod.
  • For other conditions: Tailor treatment to the specific diagnosis.
• Counsel the patient on prevention:
  • Avoid UV exposure.
  • Use sunscreen and protective clothing.
  • Regular skin checks.

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Step 6: Write Your Paper

Organize your paper into the following sections:

1. Introduction:
   • Provide an overview of the patient’s case and the significance of skin lesions in primary care.
2. Clinical Evaluation:
   • Discuss the history, physical exam findings, and differential diagnosis.
3. Diagnostic Plan:
   • Highlight the need for biopsy and dermatoscopy.
4. Management and Prevention:
   • Explain treatment options and patient education strategies.
5. Conclusion:
   • Summarize the importance of early detection and management of suspicious skin lesions.

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Step 7: Format in APA Style

• Use appropriate APA headings (e.g., Introduction, Clinical Evaluation).
• Cite recent, peer-reviewed sources to support your clinical approach.

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By following this guide, you’ll systematically address all components of the assignment, ensuring a thorough and professional response

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