Nursing

There are several differential diagnoses attributable to red conjunctiva, cough, and fever in a patient. Other than those observations, Keisha has a rash on her face and other areas such as on her arms. Additionally, there are reports that she was around another student with similar symptoms. To this effect, three differential diagnoses are probable, and they include

  1. Measles,
  2. Chickenpox,
  3. Rubella

Assuming that the top of the differential is definitive, there are various complications related to the disease. Measles is a highly infectious illness caused by a virus, and it can result in severe complications. Although it is common for children, anyone can contract this disease. Some of the most common symptoms include red eyes, fever (104F), and rashes on the face (Rosaler, 2005). There are several degrees of complications related to measles.

The most common ones include ear infections that are prevalent in most children upon contracting the disease. Notably, this problem may cause permanent hearing loss. Additionally, the illness leads to diarrhea in some of the children. On the other hand, measles can cause other severe complications such as pneumonia, which is an infection of the lungs. Even though the problem happens in a few children in several cases, it often leads to the death of young children.

Another severe complication is the development of encephalitis, which is a swelling of the brain. Often, the condition will lead to convulsions and can cause hearing problems as well as intellectual disability. Besides these severe health issues, measles can result in long-term complications such as Subacute sclerosing panencephalitis (SSPE), which is a serious illness affecting the central nervous system. The condition develops several years after recovering from the disease even though the patient may have recovered from measles. To this effect, slightly less than half of those diagnosed with the malady may later develop SSPE.

Assuming that the second diagnosis in the differential is definitive, then, Keisha could have contracted chickenpox. The disease is common in children, and it causes rash and itching. Even though it is usually mild and should heal in a few days, it can lead to several complications in some instances especially to newborn babies, pregnant women, and people with a weak immune system (Guilfoile, 2009). The most noticeable symptoms of chickenpox are rashness and the fact that it is contagious.

Several complications appear in the categories of people mentioned above. Skin illnesses are inevitable as the skin contracts bacterial infections where a patient scratches the spots. Also, the illness may cause lung infections such as pneumonia, which may result in a persistent cough, chest pain, and difficulty breathing among others. Further, it may lead to brain and nerves’ infections, a condition that is characterized by drowsiness, weariness, confusion, and vomiting.

Another complication related to chickenpox is pregnancy problems. Adults who contract smallpox for the first time during pregnancy have higher risks of developing severe problems that may spread to the baby. Notably, contracting the disease during the first 28 weeks could develop congenital varicella syndrome that may cause vision problems, short limbs, and brain damage to the baby. On the other hand, getting chickenpox between 28 and 37weeks may expose the fetus to the risk of developing shingles during their lifetime. Infections after the 38th week of pregnancy could lead to fatal chickenpox infection. In this regard, immunization is necessary to prevent the disease, while treatments are crucial to those infected.

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