miami dade Nursing Discussion
Description
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- 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?
- Give rationales for your each differential diagnosis
- Case study to answer question
Subjective : Patient stated he was having pulsating pain on left ear for about 3 days. After the ear drainage the pain has gotten a little better
Chief Complaint : A 57-year-old man presents to the office with a complaint of left ear drainage since this mornin
Objective
Vital Sign : T) 99.8°F; (RR) 14; (HR) 72; (BP) 138/90General: well-developed, healthy male
HEENT : EAR: (R) external ear normal, canal without erythema or exudate, little bit of cerumen noted, TM- pearly grey, intact with light reflex and bony landmarks present; (L) external ear normal, canal with white exudate and crusting, no visualization of tympanic membrane or bony landmarks, no light reflex EYE: bilateral anicteric conjunctiva, (PERRLA), EOM intact. NOSE: nares are patent with no tissue edema. THROAT: no lesions noted, oropharynx moderately erythematous with no postnasal drip
Skin : no rashes
Neck / throat : no neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea midline
