Nicole Daniels is a 25-year-old mother of two young children. She developed a rash several days ago and described it as

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Nicole Daniels Is A 25 Year Old Mother Of Two Young Children She Developed A Rash Several Days Ago And Described It As 1 (65.77 KiB) Viewed 52 times

Nicole Daniels is a 25-year-old mother of two young children. She developed a rash several days ago and described it as a narrow strip of "tiny bumps" on the right side of her chest. Initially she noticed pruritus. Today she presented with a strip of herpetic vesicles that she describes as "exquisitely painful," with a sensation like a "fiery itch." She complained of sensitivity so severe that wearing clothing was painful because she could barely tolerate anything touching her skin. After completing an Hx and PE, her physician diagnosed her with shingles. He prescribed acyclovir to reduce the viral shedding and neuralgia. He also gave Ms. Daniels a prescription for acetaminophen with codeine to help relieve her pain. Shingles is caused by the reactivation of the herpes varicella zoster virus years after an initial outbreak of chickenpox. A painful eruption of vesicles occurs along the course of a segment of a spinal or cranial peripheral nerve. The lesions are nearly always unilateral. The trunk is most often affected, but the face and head may also be involved. After an outbreak of chickenpox, the virus lies dormant in the nerve cells. Individuals with a weakened immune system are more vulnerable to outbreaks. Pain may continue for months after the lesions heal; this is known as postherpetic neuralgia. Fortunately, recurrent outbreaks of shingles are rare. Shingles is contagious to people who have not previously had chickenpox. If infected, these people would not develop shingles; they would develop chickenpox. Question: 1. What did Ms. Daniels first notice on the side of her chest and after a few days, the "tiny bumps" turned into: Write the medical term and define the medical term. 2. Ms. Daniels has neuralgia, which is: 3. What is the medical term for chickenpox, how is it caused, and how is it treated? 4. The pattern of the outbreak is usually unilateral. This means that it is: 5. People who are most vulnerable to shingles outbreaks are: 6. Discuss how the outbreak of shingles may affect Nicole Daniels' activities of daily living (ADLs). How might it affect her family? re ita fa Su fes cal es cal are c