Physical Examination Week 5 Discussion
Physical Examination Week 5 Discussion
Anna Sanchez, a 21-year-old nursing student, comes to her nurse
practitioner in December with a 5-week history of itchy eyes and
nasal congestion with watery nasal discharge. She also complains
of a “tickling” cough, especially at night, and she has had episodes
of repetitive sneezing. She gets frequent “colds” every spring and
fall.
Physical Examination
Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all
normal
Skin: Flaking erythematous rash on the flexor surfaces of both
arms
Head, Eyes, Ears, Nose, and Throat:Tender over maxillary sinuses;
sclera red and slightly swollen with frequent tearing; outer nares
with red irritated skin; internal nares with red, boggy, moist
mucosa and one medium-sized polyp on each side; pharynx
slightly erythematous with clear postnasal drainage (NOTE: Nasal
polyps are common in allergic rhinitis. They are edematous
protrusions of the mucosa that are infiltrated with neutrophils,
eosinophils, and plasma cells.)
Lungs: Clear to auscultation and percussion
Initial Post: Answer the following questions about Anna Sanchez
and her condition.
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