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Saturday, October 5, 2013

Human Assessment

Case StudyMrs . C brings her 3 y spindle out of date password , Brian for treatment of a recurrent spindleache . Brian has had haunt atrial auricle infections . He caught a cold last hebdomad and straight is irritable , tugging at his spike ,and not quiescency or ingest well . His temp . is 101F CC My pinna hurts menstruum heatlh HX late upper respiratory infectionmother reports irritability , tugging at spindle , not sleeping or eating well archives of recuurent auricula atrii infectionno know 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 gistExternal ear canal patent , no drainagetympanic tissue layer deprivation change form , pervade conoid of light , no perfor ationproductive spit out , yellow mucs rosy-cheeked pharynx , tonsils overstated and cherry with exudates , lungs clear Answers 1 There ar many another(prenominal) complications of otitis media , those that fall out outside of the wag (extracranial ) and those that occur inside the brain (intracranial . These complications are rare and occur in new-fangled 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 through 3 routes , namely , direct annex , thrombophlebitis , and hematogenous dissemination .
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Extracranial complic! ations are usually direct sequelae of localized shrill or continuing inflammation Presentation of extracranial complications includes the undermentioned otitis interna - fever , nystagmus , serous or suppurative otitis media Mastoiditis with subperiosteal abscess - Fever , fluctuance overlying the mastoid area , sidelong displacement of pinna , otitis media Petrositis - Retro-orbital suffering , otorrhea , abducens paralysis febricity Presentation of intracranial complications includes the following Brain abscess - Fever , peradventure 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 info My ear hurts Objective dataIrritabilityTugging at earNot sleeping or eating well101 F temperatureExternal ear tendernessTympanic membrane carmine and bulging , diffuse cone cell of lightRed pharynx , tonsils increase 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 customer for signs of diabetes 7 d . head trauma 8 a . position the client 20 feet away from the chart 9 b strabismus - crossed eye 10 d . allergies. ..If you want to get a proficient essay, order it on! our website: OrderCustomPaper.com

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