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Week 2 NUR 6531

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Week 2 Diagnosing Skin, Eye, Ear, and Throat Disorders I choose case Study 4, a middle- aged female presents to the office complaining of strep throat that started spontaneously. The clinical manif ... estations given include temperature of 101 degrees Fahrenheit, HR 112, RR, 22, and BP 96/64. Also, review of system (ROS) with focus on head, eyes, ears, nose, and throat reveals bilateral tonsillar swelling without exudates, and neck is supple with bilateral, tender enlarged cervical nodes. Differential Diagnosis 1. Streptococcal Pharyngitis: which is Primary diagnosis is A β-hemolytic streptococcus Pharyngitis (GABHS) is an infection that usually affects children but will occasionally hit the adult population. “GABHS symptoms usually include a fever with a temperature of 101.5 Fahrenheit or greater, tonsillar exudate, anterior cervical adenopathy, and a history of recent exposure” (Dains, Baumann, and Scheibel, 2016). “GABHS which accounts for 10% of adult throat infections, often presents with fever, anterior cervical lymph node swelling, absence of coughing, and tonsillar exudate?” (Nakhoul & Hickner, 2013). Also according to Nakhoul and Hickner (2013), which indicate that the clinical symptoms for GABHS pharyngitis and nonGABHS pharyngitis overlap so much it is imp [Show More]

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