A 14 yr. old Caucasian female presents at the clinic complaining of ugly patches

Question

A 14 yr. old Caucasian female presents at the clinic complaining of ugly patches of skin on her elbows and knees. Patient states skin has been this way for years but gets worse with stress. Patient states concern that her Rheumatoid Arthritis has increased her stress level. She has no complaints of itching, or drainage. Patient states she does not have any allergies that she knows of.

Assessment: Bilateral elbows and knees have scaly, erythematous patches. There are silvery scales showing. There is no drainage or broken skin present. Patient states lesions are not painful.

2. What is ABNORMAL SUBJECTIVE DATA ?

Explanation / Answer

The patient states that she does not have allergies .It is the abnormal subjective data. Because having Rheumatoid Arthritis which is a autoimmune disorder would have come across allergies for sure.

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