NYU Throat Respiratory & Cardiovascular Disorders Clinical Evaluation Discussion

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Health Medical

New York University

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Throat, Respiratory & Cardiovascular Disorders For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 2 Chief Complaint (CC) A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12day history of a runny nose Subjective States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the springtime, pollen season. However, in the winter, her allergies are not a problem. Objective Data VS (BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air General No signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it. HEENT Ear canals: normal; EYES: normal; NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages Respiratory CTA AP&L Neck/Throat Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no cobblestoning Heart Regular rate and rhythm, no murmur, S3, or S4 Once you received your case number, answer the following questions: 1. 2. 3. 4. What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? 5. Give rationales for your each differential diagnosis. INSTRUCTIONS: • Your post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within the past 5 years
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Outline

Topic: Clinical Evaluation of Patients

Thesis statement: The patient has presented subjective data illustrating her physical symptoms
caused by a runny nose and allergies. The 25-year-old female patient has described that she has
been having a runny nose for the past twelve days and she suffers from allergies caused by
pollen during springtime. The patient will present more information concerning the causes and
effects of her runny nose and allergic elements.
1. What other subjective data would you obtain?

2. What other objective findings would you look for?

3. What diagnostic exams do you want to order?

4. Name 3 differential diagnoses based on this patient presenting symptoms?

5. Give rationales for your each differential diagnosis.

6. References


1

Clinical Evaluation of Patients

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2
Clinical Evaluation of Patients
The patient has presented subjective data illustrating her physical symptoms caused by a
runny nose and allergies. The 25-year-old female patient has desc...


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