Human Assessment

Case StudyMrs . C brings her 3 y spindle gray-hai blushful password , Brian for treatment of a recurrent spindleache . Brian has had browse atrial auricle infections . He caught a cold last workweek and straight is irritable , tugging at his head ,and not dormancy or eat well . His temp . is 101F CC My capitulum hurts menstruum heatlh HX young upper respiratory infectionmother reports irritability , tugging at capitulum , not sleeping or consume well register of recuurent spike heel infectionno cognize 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 affectionatenessExternal ear canal patent , no drainagetympanic tissue layer deprivation bulge , flabby conoid of ligh t , no perforationproductive spit out , yellow mucs rosy-cheeked pharynx , tonsils overstated and inflamed with exudates , lungs clear Answers 1 There argon many another(prenominal) complications of otitis media , those that fall out outside of the wag (extracranial ) and those that occur in spite of appearance the brain (intracranial . These complications are rare and occur in little 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 and through 3 routes , namely , direct annex , thrombophlebitis , and hematogenous dissemination .

Extracranial complications are usually direct sequelae of localized shrill or continuing inflammation Presentation of extracranial complications includes the undermentioned otitis interna - feverishness , nystagmus , serous or suppurative otitis media Mastoiditis with subperiosteal abscess - Fever , fluctuance overlying the mastoid area , askant displacement of pinna , otitis media Petrositis - Retro-orbital suffering , otorrhea , abducens paralysis pyrexia Presentation of intracranial complications includes the following Brain abscess - Fever , by chance 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 earNo t sleeping or eating well101 F temperatureExternal ear tendernessTympanic membrane red and bulging , diffuse cone shape 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 - crossed eye 10 d . allergies! ...If you want to get a proficient essay, order it on our website: OrderCustomPaper.com

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