NUR 504 Saint Thomas Treatment Processes and Clinical Interventions Case Study
NUR 504 Saint Thomas Treatment Processes and Clinical Interventions Case Study
Chief Criticism
(CC)
A 25-year-old Hispanic feminine, laptop programmer presents to your clinic complaining of a 12-day historical past of a runny nostril
Subjective
States that her signs started about 12 days in the past. She suffers from allergic reactions; she will get a runny nostril throughout the spring-time, pollen season. Nonetheless, within the winter, her allergic reactions aren’t an issue.
Goal Information
VS BP) 115/75, (P) 89, (RR) 16, (T) 100.four°F (38°C), O2 sat 98% on room air
Normal
No indicators of acute misery. Affected person seems mildly fatigued. She is respiration via her mouth. Respiration simply. Voice has a nasal high quality to it.
HEENT
Ear canals: regular;
EYES: regular;
NOSE: Bilateral erythema and edema of turbinates with important yellow drainage on the suitable. Nares: Obstructed air passages
Respiratory
CTA AP&L
Neck/Throat
Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no
cobblestoning
Coronary heart
Common fee and rhythm, no murmur, S3, or S4
What different subjective information would you receive?
What different goal findings would you search for?
What diagnostic exams do you need to order?
Identify three differential diagnoses based mostly on this affected person presenting signs?
Give rationales on your every differential prognosis.
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Case Study of NUR 504 Saint Thomas Treatment Processes and Clinical Interventions
Case Study of NUR 504 Saint Thomas Treatment Processes and Clinical Interventions
The Most important Criticism
(CC)
A 25-year-old Hispanic feminine laptop programmer arrives at your clinic with a 12-day historical past of runny nostril.
Subjective
Her signs started about 12 days in the past, in accordance with her. She has allergic reactions, and she has a runny nostril throughout pollen season within the spring. Her allergic reactions, alternatively, aren’t an issue within the winter.
Information that’s goal
VS BP) 115/75, (P) 89, (RR) 16, (T) 100.four°F (38°C), O2 sat 98% on room air
Normal
No indicators of acute misery. Affected person seems mildly fatigued. She is respiration via her mouth. Respiration simply. Voice has a nasal high quality to it.
HEENT
Ear canals: regular
