Complaints of a three month history of a facial rash

Reference no: EM133698633

Question: Vanessa is a 24 year old Hispanic female presents to the clinic to see the Family Nurse Practitioner (FNP) for complaints of a three month history of a facial rash over her cheeks and nose. In the past two weeks she has had progressively worsening joint pain, including bilateral metacarpal phalangeal, proximal interphalangeal, elbows, knees, and right ankle. She also complains of fatigue, intermittent fever, oral ulcers, loss of appetite, and unintentional weight loss.Preliminary lab workup includes CBC, CMP, and ANA which are pending. A urine dip in the office is notable for 3+ protein.

Reference no: EM133698633

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