Nursing Case Study

Nursing Case Study


Ms. D presents to your office with a sore on her lip. She reports that she first noticed it a couple of days ago. It started out with what she thought was a pimple close to her lips, but then it became more of an open sore. She reports that it hurts and also has a burning/tingling sensation. On inspection, you believe that it is consistent with herpes simplex type 1.

What is the mode of transmission of herpes simplex, and what is the process by which it causes primary infection and recurrence?

What risk factors would you assess Ms. D for?

What complications can occur with herpes simplex, and how do these complications occur?

What are risk factors for melanoma, and which risk factors does he have?

  1. What are warning signs for cancer when looking at a skin lesion?
  2. List and describe two other skin lesions that a patient might mistake for cancer.
  3. Describe to the patient the process by which melanoma forms and spreads in the body.
  4. List five questions you would want to ask the patient to determine risk factors and other information that can help you get to your diagnosis.
  5. What tests might you do to determine what is going on with this patient? Please list the tests and the rationale for why you would order them.
  6. The patient is diagnosed with Hodgkin’s lymphoma. Describe the pathophysiology of this disease.
  7. Please use the following case to answer questions 4–7.
  8. Mr. E presents to your office with concerns about changes in his skin. He reports that he has a “big ugly mole” that he wants you to take a look at. His dad had melanoma removed when he was older, and Mr. E is concerned that is what may be happening to him. He is the owner of a construction company, and he reports that he used to work outside a lot and didn’t always wear sunscreen when he was younger.
  9. Please use the following case to answer questions 8–10.
  10. Patient F is 36 years old and noticed a painless, nontender lymph node in their neck. They watched it for a couple of months, and when it didn’t go away, they came to the office to find out what it could be. They are not experiencing any other symptoms other than some general fatigue that they believe is related to a hectic lifestyle at work.