Step 1: Carefully read the following client scenario:
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.”
Step 2: Identify your assigned disease process from the chart below. Your assigned disease process is based on the first letter of your last name.
| Last Name | Disease Process |
| A – H | Condition: Allergies |
| I – P | Condition: Human Immunodeficiency Virus (HIV) |
| Q – Z | Condition: Systemic Lupus Erythematosus (SLE) |
Step 3: Answer the discussion prompts below with explanation and detail, providing complete references for all citations.
Step 4: Reply to a peer with a different assigned condition.
Include the following sections:
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Discuss the underlying pathophysiological mechanisms of your assigned disease process. Which clinical manifestations observed in Wilbur’s case may be explained by the pathophysiological mechanisms?
- Analyze Wilbur’s clinical manifestations as they relate to your assigned disease process. Do these findings support your assigned disease process? Why or why not?
- Identify and justify the diagnostic tests (including labs, imaging, or other diagnostic tests) that may be most appropriate for investigating your assigned disease process as the diagnosis for Wilbur. Discuss anticipated test results.
- Compare and contrast your response with a peer assigned to a different condition. Does their condition fit Wilbur’s case? Why or why not? Explain your rationale.