Reference no: EM134006218

Problem

Wilbur, a 55-year-old male client, presents to the NP complaining of a flat, purple-colored rash on his back and chest. Wilbur states the rash is not painful or itchy. He states it has been there for months, and he has also developed a white coating on his tongue and has "been sick a lot lately." Nurse practitioners (NPs) spend extensive time evaluating the pathophysiology of symptoms in order to develop differential diagnoses (the possibilities of what it could be). NPs often use pathophysiological foundations to rule in/out diagnoses until the actual diagnosis is identified. Of course, collecting the patient's history and physical and using diagnostic testing is also important as well. The question below helps to underscore the importance of considering how Wilbur's symptoms can relate to a lot of things. It is the NP's job to use clinical reasoning to arrive at the most likely diagnosis. Get the instant assignment help. Across allergic disease, Systemic Lupus Erythematosus, and HIV, which clinical clues in Wilbur's presentation most strongly help you differentiate between immune overactivity such as allergies and SLE and immunosuppression (HIV)? How do these distinctions guide your approach to diagnostic testing and prioritizing the differential diagnosis?