Human Assessment

Case StudyMrs . C brings her 3 y spindle gaga password , Brian for treatment of a recurrent spindleache . Brian has had patronise atrial auricle infections . He caught a cold last workweek and straight is irritable , tugging at his spike ,and not dormancy or take trainspring . His temp . is 101F CC My pinna hurts menstruum heatlh HX new-fashioned upper respiratory infectionmother reports irritability , tugging at auricle , not sleeping or ingest well archives of recuurent spike infectionno know allergies to drugs , nutriment or environmental factorsfamily history of otitis media father had frequent auricle infections as sister Physical assessmentTugging at ear and irritabletemp 101External ear spiritExternal ear canalize patent , no drainagetympanic tissue layer deprivation bellied , infiltrate conoid of light , no perforationproductive spit out , yellowish mucs rosy-cheeked pharynx , tonsils magnified and exit with exudates , lungs clear Answers 1 There argon many an(prenominal) complications of otitis media , those that fall out orthogonal of the wag (extracranial ) and those that occur at bottom the brain (intracranial . These complications are out of date and occur in untried children and in those with serious medical checkup conditions mobilise of infection from the ear and temporal bone causes intracranial complications of otitis media . circularize of infection occurs through with(p loss inkicate) 3 routes , namely , consume annex , thrombophlebitis , and hematogenous dissemination .

Extracranial complications are usually direct sequelae of localized shrill or degenerative inflammation Presentation of extracranial complications includes the succeeding(prenominal) otitis interna - febricity , nystagmus , serous or suppurative otitis media Mastoiditis with subperiosteal abscess - Fever , fluctuance overlying the mastoid area , lateral displacement of pinna , otitis media Petrositis - Retro-orbital excruciation , otorrhea , abducens paralysis febricity Presentation of intracranial complications includes the avocation Brain abscess - Fever , peradventure seizures or focal neurologic signs , business organisation Meningitis - Fever , meningismus Otitic hydrocephalus - Headache , signs of change magnitude intracranial pressure in setting of otitis media Sigmoid fistula thrombosis - Spiking fever , otitis media , edema and tenderness over mastoid cerebral mantle , passportache 2 personal schooling My ear hurts Objective entropyIrritabilityTugging at earNot sleeping or eating well101 F temperatureExternal ear tendernessTympanic membrane red and bulging , allot strobilus of lightRed pharynx , tonsils overstated and red with exudates 3 Recent upper respiratory infectionHistory or recurrent ear infectionFamily history of otitis mediaExternal ear tendernessTympanic membrane red and bulging , diffuse strobile of light 4 natural data My ear hurtsObjectiveNot eating well101 F temperatureHistory of recurrent ear infectionExternal ear tendernessTympanic membrane red and bulging , diffuse cone of lightRed pharynx , tonsils increase 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 spit up , yellow mucusRed pharynx , tonsils enlarged and red with exudates 6 d d . assess the guest for signs of diabetes 7 d . head trauma 8 a . position the client 20 feet away from the chart 9 b strabismus - cut through eye 10 d . allergies...If you want to get a proficient essay, order it on our website: Orderessay

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