SOLVED407

Maggie, a 68-year-old female, presents with a 2-day history of intense burning pain along her left posterior and lateral chest. She rates it a 9/10. She has been unable to sleep because of intense pain. She denies trauma, cough, SOB, pleuritic pain, fever. She has taken Tylenol and Motrin without any relief. PE: Physical exam reveals a tearful female that appears uncomfortable. Examination reveals allodynia along the left T5-T7 dermatome, with a rash consisting of clusters of vesicles on an erythematous base on her left posterior and lateral chest. 1. What is the likely diagnosis? 2. Discuss the appropriate pharmacological and non-pharmacological treatment of the disorder. 3. Discuss the potential pain management options for this patient with acute pain. Write prescriptions and patient instructions. Two months later Maggie presents with complaints of persistent, severe burning pain on her left anterior, lateral, and posterior chest. The pain has been persistent since she had shingles 2 months ago. She is having anxiety and depression because of the debilitating pain. No relief with OTC acetaminophen, NSAIDs, or calamine lotion. PE: Maggie is tearful, she has lost weight. No rash is noted but she does have allodynia along the left T5-T7 dermatomes. 4. Discuss
SCIENCE
HEALTH SCIENCE
NURSING

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