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Patient has allergic contact dermatitis

A 30-year-old woman presents to the clinic complaining that she has “an itchy rash all over the place.” She noticed that her legs became red, itchy, and blistered about two days after she had been hiking in a heavily wooded area. She says that scratching broke the blisters and afterward the rash became much worse and spread all over. She is convinced that the rash could not be poison ivy because once before she was exposed to that plant and did not develop a rash. On examination, there are erythematous vesicles and bullae in linear streaks on both of her legs. Some areas are weepy, with a yellowish crust. There are ill-defined erythematous plaques studded with papulovesicles on the trunk and arms.

In a one page paper:
-Identify the case in the initial post. Do not repeat the case verbatim in the post.
-Identify the most likely condition that best explains the patient’s rash.
-Describe and explain the pathophysiologic process for the eruption of the -patient’s presenting signs and symptoms.
-Describe the usual clinical manifestations associated with the condition.
-Identify the causes of the condition and risk factors if applicable.

Sample Solution

achieved. In Nigeria this is a problem that is being addressed, though not much has been done until recent times. Huge government funds that should have been allocated into improving the wellbeing of Nigerians is going into top government officials’ pockets. This is a huge problem as many Nigerian officials are living better off at the expense of millions of Nigerians who do not have an adequate standard of living. For instance Former President Goodluck Jonathan has been accused of embezzling an astonishing $15 billion worth of public funds during his 5 year term as President. Former President Goodluck Jonathan is only one of the many high ranked officials who have committed such offences. Under Jonathan’s presidency, Nigeria’s corruption levels had peaked, with Transparency International ranking the West African nation as the 136th most corrupt nation out of the 167 nations that were surveyed. Inadequate Infrastructure Despite the efforts made to improve infrastructure in Nigeria, Mr Tony Elumelu and other Nigerian Africapitalists believe that there is much more that can be done. Load shedding or intermittent power outages is still a prominent problem that hinders many businesses in rural areas from operating efficiently and effectively. The limited number of innovation hubs hinder further processing of creative innovations. Other infrastructures such as roads slow down transportation of goods across the country which in turn slows down economic growth within Nigeria. In short, distribution channels for products to the customers is generally affected when the road networks are not well maintained. Distribution of supplies to remote schools and health facilities become a challenge. High Government Maintenance Cost High ranking government officials in Nigeria allocate themselves more money per ministry than the government budget allocated. This in turn leaves the government bank balance in huge deficits. Under the the administration of former President Goodluck Jonathan, the Nigerian military was allocated funds of roughly 2 billion USD to purchase weapons, however it was later discovered that high ranking army officials split the funds amongst themselves. Some of the army officials were arrested for these actions however this is only one of the many cases of over supply of budget in government ministries. Such acts of exploitation put the citizens of Nigeria at the risk of exposure to poverty. Figure 4: Graph showing the increase in government spending
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