Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus during the past 2 weeks, Lily figured she shouldn't take her 3-day sore throat lightly. Your clinic has treated a few cases similar to Lily's. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn't sound congested.
The following students are assigned to this case:
Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient's differential diagnosis and justify why you selected each.
Flu commonly caused by a group of viruses mostly affecting the respiratory system. The symptoms ranges from sorethroat, fever, runny nose, itchy eyes,hoarseness of voice, tiredness and coughing.
SOAP template:
Subjective data :
The history reveals outbreak of flu-like symptoms sweeping her campus during the past 2 weeks, Lily figured she shouldn't take her 3-day sore throat lightly. Your clinic has treated a few cases similar to Lily's. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn't sound congested.
Objective data:
Vital signs: Temperature - N, Blood prssure- 120/80 mm hg. Pulse - 100 beats per minute,
Nasal turbinates - congested, Sinuses- pain on percussion,
Voice = hoarseness.
Chest- Airentry adequate , bilateral entry.
Skin - Norashes,cyanosis.
Extremities - pallor, no cyanosis, clubbing, edema.
Assessment - Influenza
Plan:
1) Obtaining throat swabs to identify organisms.
2) Restrict patient movement to prevent transmission of infection.
3) Educate patient to cover nose and mouth during coughing and sneezing.
4) Periodical wasshing of hands to maintain and hygiene.
5) Social isolation
6) Plenty of water intake to loosen secretions.
7) Administering Anti viral drugs to treat flu like symptoms.
Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of...
Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus during the past 2 weeks, Lily figured she shouldn't take her 3-day sore throat lightly. Your clinic has treated a few cases similar to Lily's. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a...