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A 35-year-old woman presents to the walk-in clinic with an erythemic rash along her left lateral rib area, somewhat under her breast, which she describes as “very painful.†You note it has a few vesicles developing. The woman has a 6-month-old infant who is breastfeeding and three other children over 3 years of age, all of whom the parents have chosen not to vaccinate against common childhood illnesses. The woman describes recent stress related to providing 24-hour care in her home to her mother, who is seriously ill. The woman is seeking treatment for the painful rash.
- Which conditions should be included in your list of differentials?
- What additional information should be gathered to make the diagnosis?
- Which condition is the woman likely experiencing?
- What treatment plan should you prescribe for the woman? Provide full prescription details.
- Based on the likely diagnosis, what are your concerns about the other members of the family?
- What patient teaching should you include?
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