Tag: throat

Throat, Respiratory & Cardiovascular Disorders

Posted on | by Brian Leakey

take on the role of a clinician who is building a health history for the following patient:

Chief Complaint
(CC) A 65-year-old male with chronic obstructive pulmonary disease (COPD) presents to the clinic with a cough he has had for the past 2 weeks.

Subjectivedenies chest pain, denies night sweats, admits to having a fever but does not know the temp.

VS(BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air.

Generalpatient appears tired; skin color pale, patient is diaphoretic and sweaty, height 5′3″; weight 175 lbs

HEENTEYES: no injection, no increase in lacrimation or purulent drainage;
EARS: normal
TM: Normal
NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Obstructed air passages

Respiratorylung crackles in LLL, no wheezes or rhonchi noted; does not clear with coughing; dullness to percussion over the LLL; shallow respirations and is 30, accessory muscles use not present

Neck/Throatno neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged;
trachea midline

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

Answer the following :

What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic examination do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms?
Give rationales for your each differential diagnosis.

History of a nose, mouth, throat

Posted on | by

 

perform a history of a nose, mouth, throat, or neck problem that your instructor has provided you. You will perform an assessment including nose, mouth, throat, and neck. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.

 

Patient is a 17 year old male that came to the clinic with his father after feeling ill for 2 days. The patient has throat pain and drainage from his nose. Both he and his father are answering questions. You will document your subjective and objective findings (what did they tell you, what do you see…. Be DETAILED!) Identify actual or potential risks, and submit this in a Word document to the drop box provided.