Main Question Post: Week 5 Discussion -- Review of Case Study #2: Focused Throat Exam Subjective: Ms. L is a twenty year-old female, college student presents with sore throat for three days, with additional decreased appetite, headache, and pain with swallowing. She recounts that similar “flu-like” symptoms recently affecting multiple students on campus. Additional complaint-specific questions: Have you been coughing? Are you coughing anything up? Have you been running a fever or exhibiting chills? Are you taking any medications for this? Are they helping? Are you having any pain in your face? Have you recently had a head injury? Do you smoke or have you been around anyone who smokes? Do you experience gastroesophageal reflux or heartburn? …show more content…
Epiglottitis-Because of her sore throat and vocal changes, this should be ruled out as it can advance to emergent airway obstruction, however, my suspicions would tell me that this is not probable as these patients often present in respiratory distress and appear toxic (Gompf, 2016). 5. Epstein-Barr virus (EBV) infectious mononucleosis-Though classic signs of EBV is prolonged malaise, sore throat is a very prevalent sign, and with her age and close quarters being a common factor for transmission (Cunha, 2016), EBV should also be ruled out. Plan: Further physical examination would include observing the ears, nose, and throat, as well as palpation of sinuses and lymph nodes, and auscultation of heart, lungs, and upper airway. I would order a rapid A and B influenza nasal wash swab, group A rapid strep and throat culture, and mono spot, and consider ordering a complete blood count. Depending upon diagnostic out comes, antibiotics or antivirals could be considered, as well as over-the-counter symptom relief referral, and a recommendation for rest and isolation until symptoms begin to subside. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier
Tonsillitis can be described as the inflammation of the non-encapsulated lymphoid structures, lingual and palatine tonsils. These lymphoid tissues are part of the immune system and are the first line of defence against pathogens in the oral cavity. The palatine and lingual tonsils are located underneath the stratified squamous epithelial mucosa of the tongue and oropharynx. The tonsils’ response to bacterial or viral infections of the epithelial mucosa, e.g. streptococci and the Epstein-Barr virus (EBV), is inflammation and enlargement of the tonsils and antibody responses, largely IgA. Symptoms of tonsillitis include Sore throat and fever.
Mononucleosis, Infectious mononucleosis, is a viral illness that is caused by the Epstein-Barr virus and is commonly referred to as the “kissing disease”. Mononucleosis most often occurs between the ages of childhood to early adulthood. Mononucleosis is asymptomatic with flu like symptoms that may not be immediately recognized as mononucleosis. In most cases, mono symptoms are mild and can be resolved at home. Mono is not typically serious and usually clears up within one to two months.
Influenza, also known as “the flu,” is a virus that infects the respiratory tract. Although Influenza is not as severe as many viral infections it's almost the worst for viral infections of the respiratory tract. Typically, when someone is infected with influenza they experience fever (usually 100° to 103°F in adults, but even higher in children) and causes a cough, sore throat, runny or stuffy nose, and also headaches, muscle aches, and usually extreme tiredness. There are sometimes other symptoms such as nausea, vomiting and diarrhea but usually only in rare cases with young children. One other note: The term “Stomach flu” isn’t really caused by the influenza virus.
Krista has a presumptive diagnosis of influenza as noted in her signs and symptoms. Along with the region experiences the impact of the peak flu season. The differential diagnosis includes a common cold, bronchitis, pneumonia, and tuberculosis. To address the health care needs of Krista, it is necessary to identify her therapeutic options. Rest is beneficial for Krista to recuperate. Fluids and healthy nutrition are advantageous for influenza recovery. Krista should stay home to prevent further infection to others. Natural products such as manuka honey have the ability to provide relief of symptoms (Singh et al., 2012). Krita has symptoms that include fever, shaking, cough, and chills are manageable with over the counter (OTC). According
Influenza: By Abbey Stansborough What part of the body does it effect: Influenza effects almost all of your body but the most common parts that cause the most pain are your head lower back and legs, there is different types of pain so it isn't the same pain everywhere. Symptoms: Some of the symptoms are: Chills Aching behind the eyes Loss of appetite Sore throat Runny/stuffy nose Sudden appearance of high fever Dry cough Body aches Felling weak and tired These are the symptoms that most people have and they are the most common but everyone is different and some people Causes or attributing factors to the disease: The most common way to catch the flu is by touch or if you come in contact with someone who already has the flu. There are also many
Epstein-Barr Virus, also known as human herpesvirus type 4, is a common infectious virus that will affect greater than 85% of the population at least once in their lifetime. The virus was first discovered by, and named after, Sir Michael Anthony Epstein and Yvonne Mr. Barr in 1964 in the midst of researching a case of Burkitt’s lymphoma. The Epstein-Barr virus is predominately found in a host’s saliva, and is transmitted through direct and indirect contact with the infected person’s bodily fluids. Epstein-Barr virus (EBV) is responsible for numerous infections that can take place throughout the body, most commonly acute infectious mononucleosis. Infectious mononucleosis, simply referred to as “mono,” is an illness that is directly caused by the Epstein-Barr virus and can frequently affect toddlers, teenagers, and adults. EBV, along with infectious mononucleosis, is primarily spread from person to person orally through the following acts: kissing, sharing food and drinks, and coming in contact with contaminated objects, such as toothbrushes.
History of Present Illness Mrs. A. is complaining of a dry cough for 2 weeks with exertional shortness of breath including, a low grade fever and a sore throat present in the morning. She reports she has orthopnea with the need to sit up right to breathe easier. Mrs. A. explains she had a similar episode 3 months ago in which she was treated with inhalers and antibiotics but refused hospitalization.
Laryngotracheobronchitis (LTB) can be differentiated from Epiglottitis by the definition of both diseases. LTB is an airway obstruction caused by tissue swelling just below the vocal cords. When the fluid in the tissues spread quickly, the mucosa swells and the airway narrows. In an infant or small child, the subglottic area is the narrowest region of the larynx, so even the littlest measure of edema can cause the airway to narrow. 80%
I explained to them my airway in my mouth, due to the dysfunctional breathing, causing mucus to build up and making it harder to inhale.
Symptoms are commonly not seen in children under the age of five-years-old. When individuals are in their teenage years or adults, symptoms are usually more noticeable. According to the Merck Manual Home Edition, the four main signs of infectious mononucleosis are: extreme fatigue, fever, sore throat, and swollen lymph nodes. The most traditional sign of infectious mononucleosis are swollen lymph nodes; which are often seen in ones neck, but can be visible in other areas of the infected body. Another symptom that must be taken serious is an inflamed spleen. This may or may not be noticeable, but if not handled properly it could rupture and result in serious consequences. After all other symptoms have stopped, one may continue to suffer from fatigue for up to several months (Urban,
She is still localising the cough to her throat and as mentioned, it does appear that she has some laryngeal hypersensitivity. Given the fact that we do no have complete control of the cough
In the United States, there are 60,000 new cases of throat cancer reported a year. My family is part of that statistic. Four years ago, my great-grandfather, Juan, was diagnosed with throat cancer. Unlike the normal prognosis, he passed away just 5 months after he was diagnosed.
a few weeks ago when she develop a sore throat. Since her sore throat she had
Background & Audience Relevance: Influenza is an infection that can affect anyone around the world. Am quite sure almost everyone, if not all of us, have been infected with influenza at some point in our lives.
A 40-year-old woman comes to the clinic with a history of worsening nasal congestion and recurrent sinus infections. She had been healthy until about 1 year ago when she first noticed persistent rhinorrhea, sneezing, and stuffiness. She noted that when she went on a 2-week vacation to Mexico, her rhinorrhea disappeared, only to return when she came home again. She has lived in the same house for the past 5 years along with her husband and one child. They have had a dog for 4 years and a cat for 1 year. On physical examination, she has boggy, swollen nasal turbinates and a cobblestone appearance of her posterior pharynx.