#Salt Lake City MLS

[ksplay88terdepan]

TRIBUNKALTENG.COM - Inter Miami yang dikapteni Lionel Messi akan menghadapi Nashville pada lanjutan Major League Soccer atau MLS 2024 pada Minggu (21/4/2024).

Lionel Messi diharapkan para fans untuk bisa kembali bermain sebagai starter saat Inter Miami menghadapi Nashville di MLS 2024 pukul 06.30 Wib.

Tim Lionel Messi yakni Inter Miami rawan disalip dari posisi puncak Klasemen MLS 2024.

Inter Miami di puncak Klasemen MLS terbaru dengan mengemas 15 poin.

Live streaming Inter Miami vs Nashville sudah tersedia di bagian berita.

Inter Miami wajib menang saat menghadapi Nashville dalam lanjutan MLS pekan 10 karena memiliki poin yang sama dengan New York Red Bulls.

Selain itu tiga klub lainnya berpeluang menyalip Inter Miami saat menghadapi Nashville .

Ketiganya masing-masing, Philadelphia dan Colombus Crew dengan 13 angka, dan FC Cincinnati yang mengantongi 12 poin.

Kondisi Inter Miami mulai bangkit setelah hasil negatif yang didapatkan.

Inter Miami mampu menang atas Kansas City pada pekan 9.

Sebaliknya, Nashville belum pernah menang di tiga pertandingan terakhir.

Selain itu Inter Miami tidak akan diperkuat Jordi Alba yang mengalami cedera hamstring.

Cedera mantan pemain internasional Spanyol ini terjadi di saat yang tidak tepat bagi Inter Miami yang saat ini sedang fokus untuk mengumpulkan poin sebanyak mungkin di MLS menjelang musim panas.

Seperti yang dilaporkan oleh Miami Herald, cedera hamstring yang dialami Jordi Alba tidak diyakini sebagai cedera yang serius, dengan pemain bertahan tersebut tidak mengikuti latihan pekan ini saat pemain berusia 35 tahun itu berusaha untuk merehabilitasi dirinya sendiri di luar lapangan.

Namun, menurut laporan tersebut, Alba diperkirakan setidaknya akan absen dalam pertandingan akhir pekan ini melawan Nashville SC.

Dengan Inter Miami yang memiliki opsi di posisi bek kiri dalam diri Negri dan Noah Allen, absennya Alba pada akhir pekan ini mungkin bukanlah hal terburuk bagi Martino yang kini memiliki kesempatan untuk bereksperimen dengan skuadnya.

Sedangkan Lionel Messi tetap jadi andalan.

Pada musim 2024 ini, Lionel Messi tetap berkontribusi besar untuk Inter Miami di berbagai kompetisi.

Sejauh ini, Kapten Timnas Argentina itu sudah memainkan delapan pertandingan dan telah mencetak tujuh gol serta empat assist di berbagai kompetisi.

Top Skor MLS Terbaru 1. Cristian Benteke, DC United : 6 gol, 3 assist 2. Luis Suarez :

Inter Miami : 6 gol, 3 assist 3. A Arango, Real Salt Lake : 6 gol, 1 assist 4. Lewis Morgan, New York RB : 6 gol, 0 assist 5.

Lionel Messi , Inter Miami : 5 gol, 2 assist 6. Georgios Giakoumakis : Atalanta Utd : 5 gol, 1 assist 7. Dejan Joveljic, LA Galaxy : 5 gol, 1 assist.

Saksikan dan update hasil Inter Miami vs Nashville Link Link 5 Besar Klasemen MLS 2024 wilayah Timur Terbaru 1.

Inter Miami : 9 | 5 | 15 poin 2. New York Red Bulls: 7 | 4 | 15 poin 3. Columbus Crew: 8 | 3 | 13 4. Philadelphia Union: 6 | 5 | 12 5. FC Cincinnati: 7 | 2 | 12 (TRIBUN KALTENG)

[insurgentepress]

Solo 8 equipos de la Major League Soccer participarán en el U.S. Open Cup

El Inter Miami no participarán en el @opencup por lo que sólo ocho de los 26 equipos estadounidenses de la @MLS participarán en el torneo.

Agencias, Ciudad de México.- Lionel Messi y el Inter Miami no participarán en el U.S. Open Cup por lo que sólo ocho de los 26 equipos estadounidenses de la Major League Soccer participarán en el torneo. Atlanta, Dallas, Houston, Kansas City, Los Angeles FC, Salt Lake, San José y Seattle participarán en la competencia de 96 equipos, dijo el viernes la Federación de Fútbol de Estados…

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Inter Miami Will Skip the US Open Cup, 8 MLS Teams Joins Tournament

Lionel Messi and the rest of Inter Miami will skip the US Open Cup. As a result, only eight teams from Major League Soccer will be part of the tournament. They are Dallas, Atlanta, Houston, Los Angeles, San Jose, Seattle, Salt Lake, and Kansas City. Although they did not participate in last year’s CONCACAF Champions Cup, Houston is the reigning champion. The other six teams were all in the top…

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[futebolcamisolas]

Inter Miami CF caiu para vencer o Real Salt Lake

A MLS já começou. Desde que Messi ingressou na MLS, a atual MLS tem aparecido gradativamente aos olhos dos torcedores. Como estrela do Inter MiamiCF, Messi também atrai milhares de torcedores vestindo camisolas futebol. E não faltará Messi na primeira rodada da MLS.

O Inter MiamiCF enfrentou o Real Salt Lake City na primeira rodada, com Messi sendo titular do jogo. A força dos dois lados não estava no mesmo nível. O Inter MiamiCF venceu com facilidade, mas durante o jogo uma das ações de Messi também causou muita polêmica. Durante o duelo, um jogador adversário foi derrubado no chão, mas o jogo não parou. Messi, vestindo uma camisola Messi, passou a bola diretamente, causando polêmica. Algumas pessoas acham que Messi humilha os adversários, é nojento e carece de graça judicial. Claro, há muitos fãs de Messi que elogiam o rei Messi por sua ousadia e habilidade, e ele é digno de ser o melhor da história.

[youneedtolookatthis]

SOUNDERS FC THEMED HOME MATCHES – 2024 SEASON

HOME OPENER (March 2 vs. Austin FC): Sounders FC kicks off its 50th Anniversary celebrations in the first home match of the season.

POD NIGHT (April 20 vs. Vancouver Whitecaps FC): The Rave Green celebrate Earth Day and the club's work to Protect Our Planet, with an emphasis on stewardship of the Salish Sea and its orca residents.

YOUTH MATCH (May 5 vs. LA Galaxy): Sounders FC hosts a family-friendly afternoon at the pitch with special activations for younger fans.

HERITAGE MATCH (May 18 vs. Vancouver Whitecaps FC): Sounders FC celebrates the 50th Anniversary of its first match on May 12, 1974 against its oldest rival.

BRUCE LEE MATCH (May 29 vs. Real Salt Lake): The club celebrates the life and legacy of Bruce Lee in the final year of wearing its iconic Bruce Lee Kit.

50TH ANNIVERSARY CELEBRATION (June 15 vs. Minnesota United FC): In the marquee themed match of the season, the Rave Green celebrate 50 years of Seattle Sounders Football Club and all those who came before.

PRIDE MATCH (June 22 vs. FC Dallas): Sounders FC honors Seattle Pride leading into the week of celebrations in the city, highlighting the club’s advocacy, allyship and commitment to stand for LGBTQ+ equality.

YOUTH MATCH (September 15 vs. Sporting Kansas City): Sounders FC hosts a family-friendly afternoon at the pitch with special activations for younger fans.

FAN APPRECIATION (September 28 vs. Houston Dynamo FC): The club’s annual Fan Appreciation Match celebrating the best fans in MLS, offering unique giveaways and opportunities to engage with the First Team in a post-match carnation gifting.

DECISION DAY (October 19 vs. Portland Timbers): The final home match of the season is being played against Cascadia rival Portland Timbers, as positions for the Audi 2024 MLS Cup Playoffs fall into place across MLS.

#seattle sounders #mls

[laresearchette]

Sunday, October 01, 2023 Canadian TV Listings (Times Eastern)

WHERE CAN I FIND THOSE PREMIERES?: AMERICA'S FUNNIEST HOME VIDEOS (CHCH/ABC Feed/Check Local Listings) 7:00pm MICKEY AND FRIENDS TRICK OR TREATS (Disney Channel Canada) 7:00pm THE SIMPSONS (City TV) 8:00pm BOB’S BURGERS (City TV) 9:00pm THE RINGLEADER: THE CASE OF THE BLING RING (HBO Canada) 9:00pm FAMILY GUY (City TV) 9:30pm LAST WEEK TONIGHT (HBO Canada) 11:00pm

WHAT IS NOT PREMIERING IN CANADA TONIGHT?: EVIL LIVES HERE: THE KILLER SPEAKS (TBD - Investigation Discovery) SECRETS IN THE DESERT (TBD - Lifetime Canada) HEIST 88 (TBD) JACK OSBOURNE'S NIGHT OF TERROR (TBD)

NEW TO AMAZON PRIME CANADA/CBC GEM/CRAVE TV/DISNEY + STAR/NETFLIX CANADA:

CBC GEM GREAT CANADIAN BAKING SHOW HEARTLAND SKYMED

CRAVE TV CREEPY CRAVINGS COLLECTION THE RINGLEADER: THE CASE OF THE BLING RING

NETFLIX CANADA THE CONJURING 2 THE CROODS DJANGO THE FINAL DESTINATION FINAL DESTINATION 2 THE FOREVER: PURGE HALLOWEEN: H20 I STILL KNOW WHAT YOU DID LAST SUMMER THE NIGHT LOGAN WOKE UP JIGSAW SAW III SAW VI SCARFACE SEE FOR ME THE SPONGEBOB MOVIE: SPONGE OUT OF WATER ZOMBIELAND

NFL FOOTBALL (TSN) 9:30am: Falcons vs. Jaguars (TSN4) 4:00pm: Cardinals vs. 49ers (TSN/TSN3/TSN4/TSN5) 8:20pm: Chiefs vs. Jets

MEN’S RUGBY WORLD CUP (TSN2) 11:45am: Australia vs. Portugal

CURLING (TSN4) 12:00pm: PointsBet Invitational Curling: Women's Final (TSN4) 5:00pm: PointsBet Invitational Curling: Men's Final

MLB BASEBALL (SN) 3:00pm: Rays vs. Jays (SN1) 3:00pm: Rangers vs. Mariners (SN 360) 3:00pm: Astros vs. Diamondbacks (SN Now) 3:00pm: Marlins vs. Pirates (TSN3) 3:00pm: Cubs vs. Brewers

HEARTLAND (CBC) 7:00pm (SEASON PREMIERE): Amy is surprised when a very pregnant Mallory shows up at the ranch with a wild horse; Jack and Tim face new competition, and Lou grapples with a familiar opponent in her campaign to be reelected…OH NO, SHE’S RUNNING AGAINST A HORSIE!

THE BIG BAKE (Food Network Canada) 7:00pm: Cotton candy dreams and funhouse screams are on the menu as host Brad Smith asks the baking teams to create chilling cakes that take judges Ron Ben-Israel, Eddie Jackson and Danni Rose on a wild ride.

MLS SOCCER (TSN2) 8:00pm: Real Salt Lake vs. Los Angeles FC

THE GREAT CANADIAN BAKING SHOW (SEASON PREMIERE): Ten of the country's best amateur bakers arrive at the iconic "Great Canadian Baking Show" tent to complete three "Cake Week" challenges.

JUNGLE CRUISE (CTV2) 8:00pm: Dr. Lily Houghton enlists the aid of wisecracking skipper Frank Wolff to take her down the Amazon in his ramshackle boat. Together, they search for an ancient tree that holds the power to heal -- a discovery that will change the future of medicine.

ALMOST PARADISE (CTV Drama) 8:00pm (SEASON PREMIERE): A local priest is murdered over a long-lost ancient cross, the cross which Magellan held in his hand the day he was killed by Lapu-Lapu in the Battle of Mactan.

COMING HOME (APTN) 8:00pm: Going behind the scenes of the production of the Crave Original drama series "Little Bird," and the groundbreaking movement for Indigenous narrative sovereignty as experienced by the series' creatives, crew and Sixties Scoop advisors.

INFIDELITY CAN BE FATAL (Lifetime Canada) 8:00pm: A jaded private investigator who specializes in exposing lecherous, cheating husbands thinks she's met the love of her life in a chance encounter, but as it turns out, this dream man may actually be her worst nightmare.

SKYMED (CBC) 9:00pm (SEASON PREMIERE): SkyMed expands its medevac service into new territory, throwing everyone into disarray as familiar faces return - and intriguing new flight crew arrive.

IRRESISTIBLE (Movietime) 9:00pm: A Democratic political consultant helps a retired Marine colonel run for mayor in a small Wisconsin town.

STARSTRUCK (Crave) 9:00pm/9:30pm (SEASON PREMIERE): Years after their breakup, Jessie and Tom meet unexpectedly at Kate's wedding with Ian. In Episode Two, Tom's engagement party with new partner and fellow actor Clem puts pressure on Kate.

SATAN WANTS YOU (documentary) 9:00pm: The story of how a young woman and her psychiatrist ignited the global Satanic Panic with their book Michelle Remembers.

WHEN CALLS THE HEART (Super Channel Heart and Home) 9:00pm: The town prepares for the governor's black-tie ball; while still reeling from the true intentions of Union City Holdings, Lucas decides to try to sway the governor to their side.

CLEAN SWEEP (Super Channel Fuse) 9:00pm: Shelly outmaneuvers the fingerprint test, but a new witness appears who gives a description of a suspect that may point to her.

AURORA TEAGARDEN MYSTERIES: SOMETHING NEW (CTV Drama) 9:05pm: Young Aurora Teagarden returns home to Lawrenceton to pursue her post-graduate degree but soon finds herself embroiled in a mystery involving her friend's fiance.

THE WINTER KING (Crave) 11:00pm: Derfel feels uncomfortable about the attack on the mine, which Owain keeps a secret; Tristan, prince of Kernow, demands justice for the raid at the mine.

#cdntv #cancon #canadian tv #canadian tv listings #heartland #the big bake #the great canadian baking show #skymed #when calls the heart #clean sweep #the winter king #rugby world cup #curling #mlb baseball #mls soccer

[anshraa99]

Kreilach scores twice, Real Salt Lake beats St. Louis

Diego Luna opens the scoring with his first MLS goal. (Jeff Roberson | AP) Real Salt Lake’s Damir Kreilach (8) heads the ball past St. Louis City’s Jake Nerwinski (2) and John Nelson (14) during the first half of an MLS soccer match Wednesday, June 21, 2023, in St. Louis.   | June 22, 2023, 2:49 a.m. St. Louis • Damir Kreilach scored two goals, teenager Gavin Beavers saved two shots and Real…

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Kreilach scores twice, Real Salt Lake beats St. Louis

Diego Luna opens the scoring with his first MLS goal. (Jeff Roberson | AP) Real Salt Lake’s Damir Kreilach (8) heads the ball past St. Louis City’s Jake Nerwinski (2) and John Nelson (14) during the first half of an MLS soccer match Wednesday, June 21, 2023, in St. Louis.   | June 22, 2023, 2:49 a.m. St. Louis • Damir Kreilach scored two goals, teenager Gavin Beavers saved two shots and Real…

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[ansraali]

Kreilach scores twice, Real Salt Lake beats St. Louis

Diego Luna opens the scoring with his first MLS goal. (Jeff Roberson | AP) Real Salt Lake’s Damir Kreilach (8) heads the ball past St. Louis City’s Jake Nerwinski (2) and John Nelson (14) during the first half of an MLS soccer match Wednesday, June 21, 2023, in St. Louis.   | June 22, 2023, 2:49 a.m. St. Louis • Damir Kreilach scored two goals, teenager Gavin Beavers saved two shots and Real…

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[amdia80]

Kreilach scores twice, Real Salt Lake beats St. Louis

Diego Luna opens the scoring with his first MLS goal. (Jeff Roberson | AP) Real Salt Lake’s Damir Kreilach (8) heads the ball past St. Louis City’s Jake Nerwinski (2) and John Nelson (14) during the first half of an MLS soccer match Wednesday, June 21, 2023, in St. Louis.   | June 22, 2023, 2:49 a.m. St. Louis • Damir Kreilach scored two goals, teenager Gavin Beavers saved two shots and Real…

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Kreilach scores twice, Real Salt Lake beats St. Louis

Diego Luna opens the scoring with his first MLS goal. (Jeff Roberson | AP) Real Salt Lake’s Damir Kreilach (8) heads the ball past St. Louis City’s Jake Nerwinski (2) and John Nelson (14) during the first half of an MLS soccer match Wednesday, June 21, 2023, in St. Louis.   | June 22, 2023, 2:49 a.m. St. Louis • Damir Kreilach scored two goals, teenager Gavin Beavers saved two shots and Real…

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[ksplay88terdepan]

TRIBUN-MEDAN.com - Inter Miami dijadwalkan bentrok kontra Orlando City dalam lanjutan Major League Soccer (MLS) pertandingan ketiga di musim ini, Minggu (3/3/2024) dini hari nanti.

Jam tayang Inter Miami menjamu Orlando City digelar di Chase Stadium pada Minggu (3/3/2024) pukul 04.30 WIB.

Saat ini Inter Miami memimpin klasemen sementara MLS dengan empat poin setelah melakoni dua laga.

Kemenangan akan membawa Messi cs untuk tetap memuncaki klasemen lantaran tim lain baru melakoni satu laga saat ini. Jika kalah atau imbang tentu bakal segera digeser oleh tim lainnya.

Di pertandingan terakhir, Messi menjadi juru selamat Inter Miami berkat golnya di menit-menit akhir laga untuk membawa skor sama 1-1 saat melawan LA Galaxy.

Kehadirannya di depan publik Miami diharapkan bisa membawa hasil yang lebih baik lagi bagi tim asuhan Gerardo Tata Martino.

Messi sendiri memiliki kenangan yang cukup baik saat bertemu Orlando City. La Pulga mencetak dua gol di babak 32 besar Piala Liga untuk membuat Miami menang 3-1.

Di putaran kedua MLS tahun lalu ia absen bermain dan timnya harus bermain imbang 1-1 dengan Orlando.

Kini, dengan diperkuat Messi ditambah adanya Luis Suarez, tentu akan menambah kekuatan tim berjuluk The Herons itu.

Namun demikian, Inter Miami juga tak boleh lengah. Salah satu sektor yang masih menjadi PR saat ini adalah rentangnya lini belakang.

Mereka lemah dalam menghadapi serangan balik yang cepat. Laga melawan LA Galaxy pekan lalu menjadi buktinya.

Orlando City memiliki skuad penyerang yang kuat yang bisa kapan saja membahayakan gawang Miami.

Tengah pekan lalu mereka menang di leg kedua putaran pertama Piala Champions CONCACAF melawan Kavaleri dengan skor 3-1. Sebelum itu, mereka mengimbangi Montreal tanpa gol di laga perdana MLS.

Penguasaan lini tengah bisa menjadi kunci bagi Miami untuk memenangkan laga di depan publik sendiri.

Prediksi Skor Inter Miami vs Orlando City Sejumlah bursa prediksi skor menebak hasil yang beragam untuk laga Inter Miami vs Orlando City ini.

Sportsmole menjagokan Inter Miami menang tipis 2-1, namun Sportingnews lebih menjagokan Orlando City yang menang 1-2.

Sportsmole:

Inter Miami 2-1 Orlando City Sportingnews:

Inter Miami 1-2 Orlando City Prediksi Susunan Pemain Inter Miami (4-3-3): Drake Callender; DeAndre Yedlin, Tomas Aviles, Sergey Kryvtsov, Jordi Alba; Diego Gomez, Sergio Busquets, Julian Gressel; Lionel Messi , Luis Suarez, Robert Taylor.

Pelatih: Gerardo "Tata" Martino.

Orlando City (4-2-3-1): Mason Stajduhar; Rafael Santos, Rodrigo Schlegel, Kyle Smith, Michael Halliday; Wilder Cartagena, Felipe Martins; Ramiro Enrique, Shakur Mohammed, Martin Ojeda; Luis Mirel.

Pelatih: Oscar Pareja.

Head to Head 5 Pertemuan Terakhir Inter Miami vs Orlando 25/09/23: Orlando City vs Inter Miami 1 - 1 03/08/23:

Inter Miami vs Orlando City 3 - 1 21/05/23:

Inter Miami vs Orlando City 1 - 3 06/10/22:

Inter Miami vs Orlando City 4 - 1 10/07/22: Orlando City vs Inter Miami 1 - 0 5 Laga Terakhir Inter Miami 04/02/24: Hong Kong XI vs Inter Miami 1 - 4 07/02/24: Vissel Kobe vs Inter Miami P 0 - 0 (adu penalti 4 - 3) 16/02/24:

Inter Miami vs Newell's Old Boys 1 - 1 22/02/24:

Inter Miami vs Real Salt Lake 2 - 0 26/02/24: LA Galaxy vs Inter Miami 1 - 1 5 Laga Terakhir Orlando City 15/02/24: Orlando City vs Houston Dynamo 1 - 0 18/02/24: Orlando City vs Colorado Rapids 3 - 2 22/02/24: Cavalry vs Orlando City 0 - 3 25/02/24: Orlando City vs Montreal Impact 0 - 0 28/02/24: Orlando City vs Cavalry 3 - 1 (Tribun-Medan.com) Artikel ini telah tayang di Tribunnews.com

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Kreilach scores twice, Real Salt Lake beats St. Louis

Diego Luna opens the scoring with his first MLS goal. (Jeff Roberson | AP) Real Salt Lake’s Damir Kreilach (8) heads the ball past St. Louis City’s Jake Nerwinski (2) and John Nelson (14) during the first half of an MLS soccer match Wednesday, June 21, 2023, in St. Louis.   | June 22, 2023, 2:49 a.m. St. Louis • Damir Kreilach scored two goals, teenager Gavin Beavers saved two shots and Real…

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[justinyoder]

Salt Lake City Realtors

Whether you’re buying or selling, there is a local real estate professional who can help you. Local experts have knowledge of the neighborhoods, schools, and the market that can make or break your transaction. A local directory of Salt Lake City UT real estate agents and brokers connects you with professionals who can meet your needs. These real estate professionals are experienced, have great reviews, and get their clients the best deals.

Most Salt Lake City Realtors charge a commission of around 6% of the sale price. This money is split between the seller’s agent, the buyer’s agent, and the listing broker. However, this does not include other fees that are associated with the sale of a home. These can include office fees, association dues, insurance, taxes, and marketing costs. These additional fees can add up to thousands of dollars.

In some cases, homeowners will try to avoid paying real estate commissions by selling their homes on their own, known as For Sale By Owner (FSBO). This is a risky endeavor. FSBO homes typically sell slower and for less than homes listed with a Realtor. In addition, there are many expenses associated with selling a home on your own, including a real estate attorney and closing fees. If you are interested in selling your home without a Realtor, you should research the local market and find out what the average sales price is in your neighborhood.

Salt Lake City has several 'flat fee' real estate services, which offer homeowners a flat rate for listing their homes on the MLS. These services also often include syndication to popular Realtor websites. These services can be a good option for homeowners who want to save money on commissions, but it is important to remember that these services may not provide the full range of marketing and selling services that traditional Realtors do.

A full-service commercial brokerage firm headquartered in Salt Lake City, Justin Yoder Keller Williams Success provides investment sales, research information, and advisory services for multifamily, retail, office, single-tenant net-lease, industrial, land, self-storage and government-leased properties. The firm's offices in Salt Lake City and across the country have a team of experts to assist investors with their real estate investments. They also specialize in commercial mortgage financing, valuation, and property management.

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Remote Staff Software Engineer, Machine Learning (Shopping Core ML) Job at Affirm - Everythingfair

We’re excited to announce that Affirm is now a remote-first company!  The majority of our roles can be accomplished anywhere in the U.S. and Canada (with the exception of Quebec).  While most Affirmers will have the option to choose a remote-first accommodation, our offices in San Francisco, New York City, Pittsburgh, Chicago, and Salt Lake City will remain operational and accessible for anyone…

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Comprehensive SOAP Template Patient Initials: J.R                  Age: 8 years                Gender: Male SUBJECTIVE DATA: Chief Complaint (CC):  Rash on the face, arms, and trunk accompanied by itching. (Fig 9.80 Ball et al., 2019). History of Present Illness (HPI): J.R is an 8-year-old Caucasian patient presented with complaints of a pruritic rash. The patient’s caregiver reports that the rash appeared two days ago when the child was in school. The rash first appeared on the scalp and the face and progressed to upper limbs and the trunk on the same day. The mother states that the rash started as small red spots, which rapidly progressed to small clear pimples with a surrounding reddish area within 12 hours. The caregiver reports that this is the first episode that the child developed the characteristic rash. She states that the child has had a mild increase in body temperature, is inactive, and has a decreased appetite. The patient states that scratching the rash triggers pruritus in his entire body. The caregiver reports that she had administered the child with Chlortrimeton syrup to lower the fever and reduce the itchiness, which had a moderate impact on the pruritus but did not control the spread and appearance of the rash. The patient denies any history of insect bite. However, the child reports that a classmate had developed a similar rash two weeks ago. Medications: OTC Chlortrimeton syrup 10 mL three times a day. Allergies: No known food, drug, or environmental allergies. Past Medical History (PMH): J.R. had a history of hospitalization at the age of 3 years due to severe pneumonia, which was managed with IV antibiotics and oxygen therapy.  No history of chronic illnesses. Past Surgical History (PSH): The patient had a minor surgery, Incision, and Drainage, in Sep-2019 due to an abscess on his right thigh. Sexual/Reproductive History: The patient is sexually inactive. Personal/Social History: J.R. lives with his parents and two siblings in Salt Lake City, Utah. He is in 3rd grade and has a great academic performance. He states that his favorite subjects are science and art. He enjoys drawing and painting and is part of the Art club in school. The patient also states that he enjoys watching animation movies and playing video games when indoors. The mother reports that the child has no difficulties in performing ADL’s. The patient has an active lifestyle and enjoys playing soccer and swimming. He plays soccer in school and is part of the junior soccer team. He takes three meals a day with snacks between meals. The mother reports that he provides the child with a balanced diet with plenty of fruits, real fruit juices, and milk. The patient reports no eating difficulties. He sleeps approximately 10 hours a day and denies having sleeping difficulties. Immunization History: The patient’s vaccination history is up-to-date. The last Influenza shot was 4 months ago. Significant Family History: Maternal grandmother died at the age of 79 due to Lung cancer. The paternal grandfather has Hypertension and Type 2 Diabetes. Parents are alive and well. The elder sibling, 13-year-old, has Eczema. Lifestyle: J.R.’s mother denies engaging in any cultural practices or using herbs. The patient is economically supported by his father and mother. The father is an accountant while the mother is a high school teacher. The mother reports that she controls TV-time and supervises what the child watches on T.V. J.R. reports that he puts on protective gear when swimming and playing soccer. He also states that he has several friends, both from school and the neighborhood. Review of Systems: General: Genera body malaise and low-grade fever. Denies recent weight changes HEENT: Head: Denies a history of headache.

Eyes: Denies changes in vision, eye reddening, photophobia, or excessive lacrimation. The last eye-checkup 2 years ago, no abnormalities detected. Ear: Denies hearing loss, ear discharge, or pain behind the ear. Nose: Denies nasal discharge, epistaxis, facial tenderness, or history of allergic rhinitis. Reports an intact sense of smell.&nbsp; Throat: Denies dental pain, bleeding gums, or tongue soreness. Denies difficulties in swallowing, sore throat, or hoarseness. Neck:&nbsp;Denies neck pain or stiffness. Breasts:&nbsp;Denies breast mass or tenderness. Respiratory:&nbsp;Denies cough, sputum production, shortness of breath, exertional dyspnea, or wheezing. History of Severe pneumonia 2015. Cardiovascular/Peripheral Vascular:&nbsp;Denies edema, chest pain, palpitations, shortness of breath, exertional dyspnea, or bluish discoloration of lips or fingers. Gastrointestinal:&nbsp;Denies experiencing nausea, vomiting, abdominal discomfort, or changes in elimination pattern. Genitourinary:&nbsp;Denies urinary frequency, urgency, dysuria, or blood in the urine. Denies penile discharge. Musculoskeletal:&nbsp;Denies difficulties in movement, muscle pain, joint pain, or joint stiffness. Psychiatric:&nbsp;No history of anxiety, depression, or child conduct disorders. Neurological:&nbsp;Denies history of headache, dizziness, syncope, seizures, tingling sensations, muscle weakness, or gait/posture abnormalities. Skin:&nbsp;Pruritic red rash (refer to HPI). Hematologic:&nbsp;No history of blood transfusion. Endocrine:&nbsp;Denies cold/heat intolerance, acute thirst, increased hunger, or excessive sweating. Allergic/Immunologic:&nbsp;No history of allergic reactions. OBJECTIVE DATA: Physical Exam: Vital signs:&nbsp;Ht.- 2’6, Wt.- 52.9 pounds RR- 18, HR-94, BP-104/65, and Temp- 99.86F General:&nbsp;Patient is sick-looking with no acute distress. Maintains and upright posture. Neat and well-groomed. Patient is Alert and maintains eye-contact. HEENT:&nbsp;Head is Normocephalic and symmetrical. The sclera is white and conjunctiva pink. PERRLA, Tympanic membranes intact. Nasal septum well-aligned. Mucous membranes pink and moist. The tongue is midline; 2 missing teeth. Tonsillar glands non-inflamed. Neck:&nbsp;Trachea midline, No Thyroid gland enlargement. Chest/Lungs:&nbsp;Chest rise and falls uniformly on breathing in and out. Respirations smooth with no use of accessory muscles. Chest clear on auscultation. Heart/Peripheral Vascular:&nbsp;No JVD or edema. RRR with no murmurs, friction rubs or S gallop.&nbsp; Pulses+2 bilateral pedal and +2 radial Abdomen:&nbsp;Flat and smooth. BS-normoactive in all quadrants. No tenderness, masses, or organomegaly on palpation. Genital/Rectal:&nbsp;Normal male genitalia. No anal fissures or tears present. Musculoskeletal:&nbsp;Muscle strength 5/5 Neurological:&nbsp;CNs-intact, DTRs-intact Skin:&nbsp;Papular and vesicular lesions present on the scalp, face, upper extremities, and trunk. The lesions are elevated and circumscribed on the superficial layer of the skin. The skin around the vesicles is erythematous. The erythematous Lesions are filled with clear fluid and are < 1 cm in diameter and appear in clusters (Fig 9.80 Ball&nbsp;et al., 2019). ASSESSMENT: &nbsp; Priority Diagnosis Chickenpox:&nbsp;Chickenpox, also known as Varicella, is an acute and highly communicable disease common in children and young adults. It is caused by the varicella-zoster virus (VZV) (Ball&nbsp;et al., 2019). The VZV is spread by droplets from the upper respiratory tract or discharges of ruptured lesions on the skin (Kennedy & Gershon, 2018). It has an incubation period of 14 – 21 days. It has a communicability period of 1 to 2 days before the onset of the rash and until lesions have crusted over. Varicella results in a skin rash that forms small, itchy blisters, which scabs over. It typically starts on the scalp and then spreads to the face, chest, back, and upper extremities (Ball&nbsp;et al., 2019).

It begins with small, erythematous macules that rapidly progress over 12-14 hours to papules and then clear vesicles (Gershon&nbsp;et al., 2015). The vesicular stage is often accompanied by intense pruritus. The skin rash is accompanied by low-grade fever, fatigue, pharyngitis, and headaches, lasting five to seven days (Gershon&nbsp;et al., 2015). &nbsp;However, childhood varicella does not begin with a prodromal phase but starts with the onset of exanthema. Chickenpox is the priority diagnosis based on pertinent positive findings of red spots that progressed into erythematous vesicles and pruritus. Besides,&nbsp; a history of rash on the scalp and face and spread to upper extremities and trunk. Other positive findings include a low-grade fever, general malaise, and loss of appetite. Differential Diagnoses Nun-bullous Impetigo:&nbsp;Impetigo is a common and highly contagious, superficial skin infection that manifests with either a bullous or non-bullous appearance (Hartman-Adams, Banvard & Juckett, 2014). Non-bullous impetigo on children begins as a single lesion typically presenting as a red macule or papule. This quickly progresses into a vesicle. The vesicle ruptures, causing erosion and the vesicular contents dry to form a characteristic honey-colored crust (Ball&nbsp;et al., 2019). The non-bullous impetigo commonly occurs on the face or extremities. Individuals often have mild regional lymphadenopathy, but pharyngitis is absent (Hartman-Adams, Banvard & Juckett, 2014). Nun-bullous impetigo is a differential diagnosis based on a positive history of the appearance of small red spots, which quickly progressed to vesicles within 12 hours. However, the presence of fever, erythematous vesicles, and absence of crusts rules out non-bullous impetigo s the priority diagnosis. Erythema Multiforme:&nbsp;Erythema Multiforme (E.M.) is an acute and self-limited skin condition considered a type IV hypersensitivity reaction. It is associated with certain infections, medications, and other triggers (Hafsi & Badri, 2019). It present with pink macules with purple central papules. E.M. is categorized into E.M. minor and major. E.M. minor is characterized by a localized eruption of the skin with minimal or no mucosal involvement (Hafsi & Badri, 2019). The papules evolve into iris lesions that appear within 72-hours and begin on the extremities. The lesions remain fixed for at least 7 days and then start to heal. E.M. major manifests with localized eruptions that involve one or more mucous membranes (Hafsi & Badri, 2019). E.M. is a differential diagnosis based on the presence of red spots in the patient. However, the history of the spread of lesions makes E.M. an unlikely diagnosis. Dermatitis herpetiformis:&nbsp;Dermatitis herpetiformis manifest with clustered excoriations, erythematous, urticarial plaques, and papules with vesicles (Antiga & Caproni, 2015). The dermatitis herpetiformis lesions are typically located on the extensor surfaces of the elbows, knees, buttocks, and trunk (Antiga & Caproni, 2015). It is extremely pruritic, and the vesicles are get excoriated to erosions. (Antiga & Caproni, 2015) This is a differential diagnosis based on positive findings of pruritic erythematous papular and vesicular lesions on the trunk. Pertinent negative findings include clustered excoriations and the presence of lesions on the scalp, face, and upper extremities. Besides, the presence of fever, malaise, and loss of appetite rules out dermatitis herpetiformis as a primary diagnosis. References Antiga, E., & Caproni, M. (2015). The diagnosis and treatment of dermatitis herpetiformis.&nbsp;Clinical, cosmetic and investigational dermatology,&nbsp;8, 257–265. https://doi.org/10.2147/CCID.S69127 Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).&nbsp;Seidel’s guide to physical examination: An interprofessional approach&nbsp;(9th Ed.). St. Louis, MO: Elsevier Mosby. Gershon, A. A., Breuer, J., Cohen, J. I., Cohrs, R.

J., Gershon, M. D., Gilden, D., Grose, C., Hambleton, S., Kennedy, P. G., Oxman, M. N., Seward, J. F., & Yamanishi, K. (2015). Varicella-zoster virus infection.&nbsp;Nature reviews. Disease primers,&nbsp;1, 15016.&nbsp;https://doi.org/10.1038/nrdp.2015.16 Hafsi, W., & Badri, T. (2019). Erythema Multiforme. In&nbsp;StatPearls [Internet]. StatPearls Publishing. Hartman-Adams, H., Banvard, C., & Juckett, G. (2014). Impetigo: diagnosis and treatment.&nbsp;American family physician,&nbsp;90(4), 229-235. Kennedy, P., & Gershon, A. A. (2018). Clinical Features of Varicella-Zoster Virus Infection.&nbsp;Viruses,&nbsp;10(11), 609.&nbsp;https://doi.org/10.3390/v10110609 The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of&nbsp;three to five&nbsp;possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.