Case Study 4:

 

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.

 

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To prepare:

 

•Review this week’s media presentations and Parts 5–8 of the Buttaro et al. text.

 

•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.

 

 

 

POST 1 TO 2 PAGES ON  :

 

Explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis.

 

6531 WK 2 DISCUSSION ASSIGNMENT

 

REFERENCES/ MEDIA

 

 

 

Institute for Safe Medication Practices. (n.d.). Retrieved November 28, 2012, from 

 

 

 

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby

 

. ◦Part 5, “Evaluation and Management of Skin Disorders” (pp. 227–312)

 

◦Part 6, “Evaluation and Management of Eye Disorders” (pp. 313–344)

 

◦Part 7, “Evaluation and Management of Ear Disorders” (pp. 345–364)

 

◦Part 8, “Evaluation and Management of Nose Disorders” (pp. 365–384)

 

 

 

Media

 

•Laureate Education, Inc. (Executive Producer). (2013a). Case studies: Ear disorder. Baltimore, MD: Author.

 

Laureate Education, Inc. (Executive Producer). (2013e). Case study: Throat disorder. Baltimore, MD: Author

 

 

6531 WK 2 DISCUSSION ASSIGNMENT

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.