case study 1 Chief Complaint (CC) A 57-year-old man presents to the office with a complaint of left ear drainage since this morning. SubjectivePatient

case study 1

Chief Complaint
(CC) A 57-year-old man presents to the office with a complaint of left ear drainage since this morning.

SubjectivePatient stated he was having pulsating pain on left ear for about 3 days. After the ear drainage the pain has gotten a little better.

VS(T) 99.8°F; (RR) 14; (HR) 72; (BP) 138/90

General well-developed, healthy male

HEENTEAR: (R) external ear normal, canal without erythema or exudate, little bit of cerumen noted, TM- pearly grey, intact with light reflex and bony landmarks present; (L) external ear normal, canal with white exudate and crusting, no visualization of tympanic membrane or bony landmarks, no light reflex EYE: bilateral anicteric conjunctiva, (PERRLA), EOM intact. NOSE: nares are patent with no tissue edema. THROAT: no lesions noted, oropharynx moderately erythematous with no postnasal drip.

Skin No rashes

Neck/Throat no neck swelling or tenderness with palpation; neck is supple; no JVD; thyroid is not enlarged;trachea midline

Answer the following questions:

  1. What other subjective data would you obtain?
  2. What other objective findings would you look for?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

This assignment is for an initial psych interview Diagnosis: Major depressive disorder location: miami, Florida Comprehensive

This assignment is for an initial psych interview Diagnosis: Major depressive disorder location: miami, Florida Comprehensive Psychiatric Evaluation Template With Psychotherapy Note Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SI/HI: _______________________________________________________________________________ Sleep:  _________________________________________    

Professional Role Development “Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often

Professional Role Development “Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often overlook the day-to-day operations required to conduct research studies. Project management is a set of iterative steps that can facilitate the process of conducting nursing research” (Rew et al., 2020). As

Module 3 Discussion      Caring for Chinese, Filipino, & Vietnamese Populations

Module 3 Discussion      Caring for Chinese, Filipino, & Vietnamese Populations After studying  Module 3: Lecture Materials & Resources, discuss the following: A. Describe health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients.  B. Describe the locus-of-control variable that some Filipino