3RD WEEK CASE STUDY

 

Discussion: Diagnosing HEENT Disorders

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In clinical settings, advanced practice nurses may initiate a physical examination of a patient by examining the components of the HEENT system. Assessing primary diagnoses and differential diagnoses as they concern the HEENT system are important in informing your practice in providing optimal care.

For this Discussion, consider the following case studies of patients presenting with head, eyes, ears, nose, and throat disorders.

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Caes Study 3

 

A middle-aged female presents to the office complaining of strep throat. She states she suddenly developed a sore throat yesterday afternoon, and it has gotten worse since then. During the night she felt like she was chilled and feverish. She denies known recent contact with anyone else who had strep throat, but states she has had strep before and it feels like she has strep now. She takes no medications, but is allergic to penicillin. The physical examination reveals a slender female lying on the examination table. She has a temperature of 101 degrees Fahrenheit, heart rate of 112, respiratory rate of 22, and blood pressure of 96/64. The head, eyes, ears, nose, and throat evaluation is positive for bilateral tonsillar swelling without exudates. Her neck is supple with bilateral, tender, enlarged anterior cervical nodes.

To prepare:

•   Review the case study provided in this week’s Resources.

•   Reflect on the provided patient information including history and physical exams.

•   Think about a differential diagnosis. Consider the role the patient history and physical exam played in your diagnosis.

Reflect on potential treatment options based on your diagnosis.

 

Resources: Please use two of these resources on top of other resources you may use for reference. Thank you!

 

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice(5th ed.). St. Louis, MO: Elsevier.

 

•   Part 6, “Evaluation and Management of Eye Disorders” (pp.326-358)

•   This part covers eye examinations and explores the pathophysiology, clinical presentation, physical examination, diagnostics, and management of eye disorders, including cataracts, conjunctivitis, and dry eye syndrome.? 

•   Part 7, “Evaluation and Management of Ear Disorders” (pp. 359-377)

•   This part reviews factors contributing to the diagnosis and treatment of ear disorders, such as symptoms, patient history, physical exams, and indications for referral or hospitalization. It also covers lifespan considerations, complications, and methods for educating patients and families about ear disorders.? 

•   Part 8, “Evaluation and Management of Nose Disorders” (pp.378-397)

This part explores the development of differential diagnoses for nose disorders. Nose disorders such as chronic nasal congestion and discharge, nasal trauma, rhinitis, and sinusitis are examined, as well as related complications, indications for referral or hospitalization, and health promotion strategies.

 

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