Final answer:
Polyarteritis nodosa assessment involves a physical examination and tests to identify symptoms like inflammation, nodules, paralysis, and organ damage. The notable symptoms include skin changes, nerve dysfunction, and systemic effects like nausea and confusion. A diagnostic evaluation may include imaging and biopsy to confirm the diagnosis.
Step-by-step explanation:
Polyarteritis nodosa (PAN) is a rare vasculitis that involves inflammation of the medium-sized arteries, which can lead to organ damage and tissue death. Assessment of PAN typically involves a physical examination and a variety of tests to evaluate symptoms and the extent of organ involvement.
Symptoms may include nodules or lumps under the skin, skin lesions, loss of nerve function, and in severe cases, loss of extremities due to poor blood supply. As reflected in the historical patient admission, PAN can result in severe symptoms such as gangrenous inflammation, paralysis, and problems with vision and swallowing. Adverse signs such as nausea, vomiting, photophobia (light sensitivity), stiff neck, and confusion are indicative of systemic involvement, possibly affecting the nervous system.
The patient discussed presents with paralysis, reduced vision, and difficulty swallowing. These findings, along with an examination of any skin changes, are part of the clinical assessment for PAN. Further diagnostic tests such as blood tests, imaging, and possibly a biopsy of affected vessels or tissues are conducted to confirm the diagnosis and formulate a treatment plan.