Abstract and Introduction
The "What's Your Assessment?" series includes a short case presentation and differential diagnosis. It is followed by a discussion of the disease or condition and the rationale used in each step of the assessment.
This 26-year-old Caucasian female presented to the family practice office with a chief complaint of pain to the right third finger. She said she first noticed the pain a week ago but, "1I didn't see anything particular on my finger, and I thought it would go away." She said a small lesion appeared about 2–3 days later and now the pain makes it difficult to write. She feels it is "ugly and obvious to others."
The patient went on to explain she has regular manicures at the same salon in town and works in an office where she gets frequent paper cuts from opening the mail. The patient's height is 65 inches, weight 135 pounds, 97.8° F temp, 72 apical pulse, and 122/70 BP. She has no known allergies to medication.
The patient is otherwise a healthy, up to date on all immunizations, including tetanus. Her well-woman exam, including a pap smear and blood work, was performed 6 months ago. All physical findings and laboratory values were within normal limits.
Dermatology Nursing. 2010;22(3):23-25. © 2010 Jannetti Publications, Inc.
Cite this: What's your Assessment? - Medscape - May 01, 2010.