BIOLOGY 410. RESEARCH ON TYMPANIC MEMBRANE AND THE THYROID GLAND 1. GRADED A

The body has several organs for clinical decision-making, which the physician must evaluate and document. The two organs are perhaps the most critical in our life. The thyroid gland is essential in hormone secretion, which facilitates development and growth control (Stomackin et al. 2019). Efficient evaluation of the client's medical background, recognizing the medical results for a problem, thyroid test while making a conscious SOAP report enables systematic diagnosis and infection control. Brian’s Medical History assessment Brian is a four-year-old boy who was admitted to the hospital because of problems with his ears. According to the mother, Brian has symptoms of inflammation in the right ear, screaming, puking, some indications of hearing problems, and pulling the head. Brian has lost appetite and nutrition, which she feels was due to low energy due to loss of appetite. The woman used Tylenol for both pain and fatigue due to Brian's illness. Brian took short naps throughout the day and woken up in agony at night. The kid has had twice the acute otitis media in the last two years, with no hospital admission or surgery. SOAP Notes Subjective: Main Complaint: Brian has been moaning for the last five days about right ear discomfort followed by ear pulling and eventual fluid leakage from the right ear. Present Disease History: Brian presents chronic, acute otitis, which has presented itself two times in his lifetime, decreased sleep, feeling dizzy, elevated body temperature, impaired hearing in the ear, extreme exhaustion. Clinical History: Twice in the last three years, the acute otitis media has been done. The child did not undergo surgery or hospitalization instantly. The kid does not have any allergy presentations. Family History of importance: The father has high blood pressure, the mother has a historical record of diabetes Personal record: Stays with eight-year-old sibling and mother. Mother is a cook, and the father works in a local firm. Nobody is a smoker. Objective: Critical signs: Body temp is 98.5, weighs 15 kgs, H.R. 96, R.R. 22, and Height 110 cm. Assessment: A healthy young child, without acute stressing. Pink cornea, tidy left ear canal, protruding, and erythematous right tympanic membrane with undefined bulbous markings and decreased light reflex. There are no masses to the back. Plan: The short-term objective is to treat otitis media by otoscopy, vision, tympanometry, and reflectometry. Recommend ten-day medicines and particularly antibiotics like Benzocaine, amoxicillin, and Benadryl suspension for pain and fever. Inform the mother on avoiding hot baths, heavy fragrant soaps, and motivate the son to take water regularly. Pinky’s Health History Assessment Pinky, a 43-year-old female American who comes to the medical facility, Whining extreme fatigue and hollowness and exhaustion over the last few weeks. She has been polite and has no intense pain, but appears exhausted throughout the day with a decreased involvement in daily activities. She sleeps irregularly, and even naps during the day. She had one c section, vaccine administered, anxiety therapy, lack of sleep, and no routine misuse O.T.C. Her parents are alive, and the mother has osteoporosis, and the father has type 2 diabetes with hypertension. The client stays in a residential district with her family. Dismisses alcohol addiction and substance misuse. She weighs 70 kgs, Height 5'4, Body mass index 25.3, Blood pressure 100/60, temperature 96.7, respiration 15, and heartbeat 77 on objective results. This is generally stable, well-kempt, and focused. Others: zero ankles Oedema, toes feel cool, fair C.N.S., strong details memory, and there is a peripheral pulse. S.O.A.P. Notes Subjective: Primary Complaint: Extreme fatigue, cold, and tiredness. Present Illness History: Pinky, an American, reported at the facility complaining of intense coldness, exhaustion, and fatigue that has endured for the last four months. She has a sleep disorder, nervous, and can't handle daily activities. She takes Tylenol and has previously taken Metamucil for acid reflux. Medical History: Have iodine allergy, no drug resistance, once C section. History of Social life: Pinky resides with her husband and their two children in a suburban town. Objective: The symptoms of vitality: Weight. 70 Kgs, Height. 5'4, Body mass index 25.3, temperature 96.7, pulse 15, and her blood pressure was 100/60. Assessment: Alleged, undefined hypothyroidism; Plan: The first aim is to conduct hypothyroidism tests that include T4 (thyroxine) lab tests, thyroid- stimulating hormone (TSH), and anti-thyroid microsomal antibody tests. Drugs like diazepam 7.5 mg and Dulcolax 10 mg should be prescribed at bedtime if a correct diagnosis is made. The client will also be advised to have at least thirty minutes of walking or bike riding. Tympanic Membrane Abnormal and Normal Observations The doctor will move the ear lope backward and upwards while examining the tympanic membrane. The client should not be feeling palpation softness or discomfort. Likewise, in the ear canal, the patient will have no defects or discharges. In typical situations, the membrane must be smooth and translucent by visualization. Unusual findings of the eardrum may include the softness of the extrinsic auditory canal, wet, swollen, and sometimes with pus. An individual can also possess white to hard brown content that obscures the ear canal. Mansour et al. (2015) also note that severe purulent otitis suggests a red eardrum and the stasis of the bony structures. The eardrum may also be in amber color, a sign of abscess (Mansour et al. 2015). Many significant irregular results for tympanic membranes entail Haemorrhage of the vesicles, incisions, and retractions. Posterior and Anterior examination of Thyroid Anterior examination The anterior ear diagnosis is a procedure involving the assessment and palpation of the ear, whereas the patient is sitting or standing (Lyshchik et al. 2005). Cross-lighting helps the practitioner to maximize shadows while raising the probability of identifying masses. Palpation is often performed while the client is sitting or standing, and tries are made to find thyroid isthmus using hands and fingers via the sensation of the suprasternal knot and cricoid tissue. Lyshchik et al. (2005) say the doctor can feel the gland he or she is retracting from the sternocleidomastoid muscle. Posterior Examination In this case, the examination is carried out after an anterior check, in which the doctor checks the neck from one side and measures