NUR 504 Module 4 Discussion

Description

Module 4 Discussion

Throat, Respiratory & Cardiovascular Disorders

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.

Case 2

Chief Complaint
(CC)

A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose

Subjective

States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the spring-time, pollen season. However, in the winter, her allergies are not a problem.

(BP) 115/75, (P) 89, (RR) 16, (T) 100.4 (38é, O2 sat 98% on room air

General

No signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.

HEENT

Ear canals: normal;
EYES: normal;
NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages

Respiratory

CTA AP&L

Neck/Throat

Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no
cobblestoning

Heart

Regular rate and rhythm, no murmur, S3, or S4

Once you received your case number, answer the following questions:

What other subjective data would you obtain?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient presenting symptoms?

Give rationales for your each differential diagnosis.

Explanation & Answer:

500 words

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