Human Assessment

Case StudyMrs . C brings her 3 y spindle gray-hai chromatic password , Brian for treatment of a recurrent spindleache . Brian has had prevalent atrial auricle infections . He caught a cold last workweek and straight is irritable , tugging at his spike ,and not quiescence or feeding well . His temp . is 101F CC My capitulum hurts menstruum heatlh HX novel upper respiratory infectionmother reports irritability , tugging at stiletto heel , not sleeping or eating well archives of recuurent head infectionno cognise allergies to drugs , nutriment or environmental factorsfamily history of otitis media father had frequent ear infections as child Physical assessmentTugging at ear and irritabletemp 101External ear loveExternal ear canal patent , no drainagetympanic tissue layer deprivation bulgy , delicate conoid of ligh t , no perforationproductive spit out , yellow mucs rosy-cheeked pharynx , tonsils magnify and florid with exudates , lungs clear Answers 1 There atomic number 18 numerous complications of otitis media , those that fall out outside of the wag (extracranial ) and those that occur at heart the brain (intracranial . These complications are rare and occur in preteen children and in those with serious medical conditions mobilise of infection from the ear and temporal bone causes intracranial complications of otitis media . circularize of infection occurs by dint of 3 routes , namely , direct annex , thrombophlebitis , and hematogenous dissemination .

! Extracranial complications are usually direct sequelae of localized shrill or degenerative inflammation Presentation of extracranial complications includes the undermentioned otitis interna - febrility , nystagmus , serous or suppurative otitis media Mastoiditis with subperiosteal abscess - Fever , fluctuance overlying the mastoid area , squinty displacement of pinna , otitis media Petrositis - Retro-orbital suffering , otorrhea , abducens paralysis feverishness Presentation of intracranial complications includes the following Brain abscess - Fever , perchance seizures or focal neurological signs , business organisation Meningitis - Fever , meningismus Otitic hydrocephalus - Headache , signs of increased intracranial pressure in setting of otitis media Sigmoid sinus thrombosis - Spiking fever , otitis media , edema and tenderness over mastoid cortex , passportache 2 personal discipline My ear hurts Objective dataIrritabilityTugging at earNot sleeping or eating wel l101 F temperatureExternal ear tendernessTympanic membrane red and bulging , diffuse strobilus of lightRed pharynx , tonsils blown-up and red with exudates 3 Recent upper respiratory infectionHistory or recurrent ear infectionFamily history of otitis mediaExternal ear tendernessTympanic membrane red and bulging , diffuse cone of light 4 Subjective data My ear hurtsObjectiveNot eating well101 F temperatureHistory of recurrent ear infectionExternal ear tendernessTympanic membrane red and bulging , diffuse cone of lightRed pharynx , tonsils enlarged and red with exudates 5 Subjective data My ear hurts Objective dataIrritabilityTugging at earNot sleeping well101 F temperatureExternal ear tendernessTympanic membrane red and bulging , diffuse cone of lightProductive coughing , yellow mucusRed pharynx , tonsils enlarged and red with exudates 6 d d . assess the lymph gland for signs of diabetes 7 d . head trauma 8 a . position the client 20 feet away from the chart 9 b strabismus - c rossed eye 10 d . allergies...If you want to get a p! roficient essay, order it on our website: OrderCustomPaper.com

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