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Case Study: Acute Pharyngitis Diagnosis and Management, Exams of Nursing

A case study of a 23-year-old woman who presents with acute pharyngitis, fever, headache, and tender cervical lymphadenopathy. The case study includes the history, physical exam, key findings, problem statement, body system list, differential diagnosis, tests, and management plan for group a streptococcus (gas) pharyngitis. The document also includes additional exercises related to nosebleeds, eye pain, bacterial strep pharyngitis, eye exams, and meniere’s disease.

Typology: Exams

2023/2024

Available from 04/15/2024

dennis-dennnoh
dennis-dennnoh 🇺🇸

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iHuman, Rebecca Fields

Case Study- Recent

Solutions (202 3 Exam)

I Human, Rebecca Fields Case Study-

completed 2023

I Human. Rebecca Fields History: 23 questions required by expert. Physical Exam: 15 required Vital signs, SPo2, Spco, Etco2, Mental status Skin, inspect skin overall HEENT: inspect mouth, pharynx, look in ears with otoscope, inspect eyes, look up nostrils Neck: palpate neck, evaluate range of motion Lymphatic: palpate all lymph nodes Chest wall and lungs: auscultate lungs Abdomen: palpate abdomen

Key findings : Sore throat ---- MSAP Fever ------------ related Headache ------ related Pharyngeal erythema and exudate- related Tender cervical lymphadenopathy – related Oral contraceptive use- unrelated Family history of hypertension – unknown Infectious contact per history- unknown Infectious mono at 150 resolved Problem statement: Expert: This 23 - year-old woman presents with acute pharyngitis associated with fever, headache and tender cervical lymphadenopathy. She has no significant medical history. Physical exam is notable for temperature elevation (101.5), posterior pharyngeal erythema, mild to moderate tonsillar enlargement, prominent tonsillar exudate, and tender bilateral lymphadenopathy. Body system list : respiratory Differential Dx: Influenza, group A strep throat, pharyngitis (N. gonorrhea), Pharyngitis (group C and G streptococci, peritonsillar abscess Tests: rapid strep antigen test, throat culture, influenza swab Management Plan: Tx choice for GAS pharyngitis: amoxicillin or PCN X 10 days. Analgesics and NSAIDS

Exses: 1. The most common site of nosebleed is…

  1. A 42 year old woman presents to ED with a complaint of severe right eye pain. Symptoms are associated with nausea and vomiting, and the eye is injected. Your first action is to…
  2. Bacterial strep pharyngitis is associated with the following finding…
  3. You are completing eye exam but are having difficulty visualizing the macula. You tell the patient to..
  4. A 71-year-old female presents with vertigo, tinnitus, and hearing loss. You narrow your differential to Meniere’s disease or benign paroxysmal vertigo. Your final diagnosis is Meniere’s disease is based on a presence of..