STU Throat Respiratory & Cardiovascular Disorder Discussion

I’m working on a nursing discussion question and need the explanation and answer to help me learn.

Chief A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose

Subjective States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the spring-time, pollen season. However, in the winter, her allergies are not a problem.

Objective Data

VS

(BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air

General

No signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.

HEENT

Ear canals: normal;

EYES: normal;

NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages

Respiratory CTA AP&L

Neck/Throat Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no

cobblestoning

Heart Regular rate and rhythm, no murmur, S3, or S4

Answer the below questions. Note that all your responses should apply to your specific patient from your assigned case study.

What other subjective data would you obtain?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient’s presenting symptoms.

Give rationales for each differential diagnosis.