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5 REFERENCES NOT MORE THAN 5 YRS
PLEASE SEE THE ATTACHED RUBRIC DETAILS, EPISODIC/FOCUSED NOTE TEMPLATE AND SAMPLE
Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.
Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.
In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.
CASE STUDY 1: Focused Nose Exam
Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and
postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for
5 days. As you check his ears and throat for redness and inflammation, you notice him
touch his fingers to the bridge of his nose to press and rub there. He says he’s taken
Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if
the Mucinex has helped at all, he sneers slightly and gestures that the improvement is
only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear
thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs
are clear. His tonsils are not enlarged but his throat is mildly erythematous.
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