Assessing the Head, Eyes, Ears, Nose, and Throat

 

 

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.
Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.
In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.
To Prepare

• By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
• Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.
With regard to the case study you were assigned:
• Review this week’s Learning Resources and consider the insights they provide.
• Consider what history would be necessary to collect from the patient.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
• Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

 

 

Sample Solution

ormed as a side-effect during the fragmented ignition of every single petroleum product. Openness to carbon monoxide can cause migraines and put extra weight on individuals with coronary illness. Vehicles and trucks are the essential wellspring of carbon monoxide discharges. They can disturb the lungs, cause bronchitis and pneumonia, and decline protection from respiratory contaminations. The petroleum derivative use likewise creates particulates, including dust, ash, smoke, and other suspended matter, which are respiratory aggravations. Moreover, particulates might add to corrosive downpour arrangement.

3. Water and Land Pollution
Coal mining additionally adds to water contamination. Coal contains pyrite, a sulfur compound; as water washes through mines, this compound structures a weaken corrosive, which is then washed into neighboring waterways and streams. Coal mining, particularly strip mining, influences the region that is being mined. After the mining is finished, the land will stay fruitless except if extraordinary insurances are taken to guarantee that appropriate dirt is utilized when the region is replanted. Materials other than coal are likewise brought to the surface in the coal mining process, and these are left as strong squanders. As the actual coal is washed, more waste material is left. As the coal is scorched, the leftover debris is left as a side-effect.

4. Warm Pollution
During the power age process, consuming petroleum derivatives produce heat energy, some of which is utilized to create power. The cycle is wasteful, a significant part of the hotness is delivered to the climate or to water that is utilized as a coolant. Warmed air isn’t an issue, however warmed water, once got back to waterways or lakes, can agitate the oceanic environment.

Coal consuming: Managing the impacts
Consuming coal, for example, for power age, brings about an assortment of squanders which should be controlled or if nothing else represented. Purported ‘clean coal’ advancements are an assortment of developing reactions to late twentieth century ecological worries, including that of an Earth-wide temperature boost because of carbon dioxide deliveries to the air. In any case, a significant number of the components have truth be told been applied for a long time, and they will be just momentarily referenced here:

Coal cleaning by ‘washing’ has been standard practice in created nations for quite a while. It lessens discharges of debris and sulfur dioxide when the coal is copied.
Electrostatic precipitators and texture channels can eliminate close to 100% of the fly debris from the vent gases – these advances are in far reaching use.
Pipe gas desulfurization diminishes the result of sulfur dioxide to the air by up to 97%, the errand relying upon the degree of sulfur in the coal and the degree of the decrease. It is generally utilized where required in created nations.
Low-NOx burners permit coal-terminated plants to decrease nitrogen oxide emanations by up to 40%. Combined with re-consuming strategies NOx can be decreased 70% and specific synergist decrease can tidy up 90% of NOx discharges.
Expanded productivity of plant – up to 46% warm effectiveness now (and half expected in future) implies that more current plants make less discharges per kWh than more seasoned ones. See Table 1.
Cutting edge innovations like Integrated Gasification Combined Cycle (IGCC) and compressed fluidized Bed Combustion (PFBC) empower higher warm efficiencies still – up to half later on.
Super perfect coal (UCC) from new handling advancements which decrease debris beneath 0.25% and sulfur to extremely low levels imply that pounded coal may be utilized as fuel for exceptionally enormous marine motors, instead of weighty fuel oil. There are something like two UCC innovations a work in progress. Squanders from UCC are probably going to be an issue.
Gasification, including underground coal gasification (UCG) in situ, utilizes s

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