Review of Case Study 1

Review of Case Study 1

REVIEW OF CASE STUDY 1 4

Reviewof Case Study 1

Richardhas reported nasal congestion, sneezing, rhinorrhea and postnasaldrainage. Besides, he has reported itching in his ears, eyes, nose aswell as the palate. From his reporting, these symptoms started fivedays ago. An APN would need to develop a health history so as toaccurately diagnose Richard’s problems. Some of the questions theAPN would ask concerning the symptoms depicted include the following

  • What possible medications is Richard taking?

  • Does Richard have a history of having these experiences at a certain period of the year?

  • Does anyone in Richard’s family have a history of having allergies?

  • Does Richard experience malaise, headache, cough, or fever?

Thechief objective of the APN would be to distinguish whether Richard issuffering from a bacterial infection, viral infection, or allergicrhinitis sine upper respiratory infections prevail in children andadults.

Thephysical exams, as well as diagnostic tests, would be necessary inorder to gather additional information concerning the patient’scondition. One of the physical exams would entail carrying out ageneral assessment. In this case, the APN should notice any importantsigns that would establish if the patient has fever this wouldindicate a bacterial infection (LeBlond et al., 2009). It would benecessary for the APN to scrutinize the patient’s face for allergicshiners and periorbital edema. In case the patient has black circlesunder his eyes, then this may be an indication of congestion andvenous statis. Periorbital edema may be an indication that thepatient may have bacterial sinusitis (Dains, Baumann &amp Scheibel,2012). The APN should also inspect if the patient is breathingthrough the mouth this may be an indication of nasal obstruction dueto the enlargement of pharyngeal lymphoid tissue. It would becritical for the APN to examine the patient’s neck and head.Examination of the patient’s eyes, ears, and lymph nodes will aidin establishing if the patient has acute rhinitis or sinus infection(Siedel et al., 2011). The examination of the patient’s nasalcavity for coryza would also be necessary. Furthermore, it would benecessary for the APN to check the patient for polyps and masses,bacterial sinusitis, and nasal septum deviation. In addition, nasalsmear test and a blood test would be necessary for the investigationof eosinophils and IgE antibodies respectively. The presence ofeosinophils would be an indication that the patient has allergicrhinitis while the test for IgE antibodies can aid in the diagnosisof allergic rhinitis (Dains, Baumann &amp Scheibel, 2012).

References

Dains,J. E., Baumann, L. C., &amp Scheibel, P. (2012). AdvancedHealth Assessment and Clinical Diagnosis in Primary Care (4th ed.).St. Louis, MO: Elsevier Mosby.

LeBlond,R. F., Brown, D. D., &amp DeGowin, R. L. (2009). DeGowin’sDiagnostic Examination (9th ed.).New York, NY: McGraw-Hill Medical.

Seidel,H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &ampStewart, R. W. (2011). Adultexamination checklist: Guide for head, face, and neck. In Mosby`sguide to physical examination (7th ed.).St. Louis, MO: Elsevier Mosby.

Seidel,H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &ampStewart, R. W. (2011). Adultexamination checklist: Guide for eye assessment. In Mosby`s guide tophysical examination (7th ed.).St. Louis, MO: Elsevier Mosby.