the Head, Eyes, Ears, Nose, and Throat
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Most ear, nose, and throat conditions that arise in non-critical care
settings are minor in nature. However, subtle symptoms can
sometimes escalate into life-threatening conditions that require
prompt assessment and treatment.
Nurses conducting assessments of the ears, nose, and throat must be
able to identify the small differences between life-threatening
conditions and benign ones. For instance, if a patient with a sore throat
and a runny nose also has inflamed lymph nodes, the inflammation is
probably due to the pathogen causing the sore throat rather than a
case of throat cancer. With this knowledge and a sufficient patient
health history, a nurse would not need to escalate the assessment to a
biopsy or an MRI of the lymph nodes but would probably perform a
simple strep test.
In this Case Study Assignment, you consider case studies of
abnormal findings from patients in a clinical setting. You determine what
history should be collected from the patients, what physical exams and
diagnostic tests should be conducted, and formulate a differential diagnosis
with several possible conditions. To Prepare
Case study to be used
Case Study 1: Focused Ear Exam (Student last name A-M)
Amy, a 3 year old girl is brought to your office by her mother
because she has a fever and complains that her ear hurts. She has
no significant medical history. The child is not pleased to be in the
provider's office and has been crying. Her mother explains that she
developed a “cold” about 3 days ago with sniffles. As she cries she
continues to cough and has yellowish nasal discharge.
• By Day 1 of this week, you will be assigned to a specific case study for
this Case Study Assignment. Please see the “Course Announcements”
section of the classroom for your assignment from your Instructor.
• Also, your Case Study Assignment should be in the Episodic/Focused
SOAP Note format rather than the traditional narrative style format.
Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP
Template in the Week 5 Learning Resources for guidance. Remember
that all Episodic/Focused SOAP Notes have specific data included in
every patient case.
With regard to the case study you were assigned:
• Review this week's Learning Resources and consider the insights they
provide.
1.