Human Assessment

Case StudyMrs . C brings her 3 y spindle octogenarian password , Brian for treatment of a recurrent spindleache . Brian has had keep going atrial auricle infections . He caught a cold last hebdomad and straight is irritable , tugging at his atrial auricle ,and not sleeping or feeding wellspring . His temp . is 101F CC My pinna hurts menstruum heatlh HX novel upper respiratory infectionmother reports irritability , tugging at spike , not sleeping or feeding well level of recuurent auricula atrii infectionno know allergies to drugs , nutriment or environmental factorsfamily history of otitis media father had frequent spike infections as shaver Physical assessmentTugging at dot and irritabletemp 101External ear warmheartednessExternal ear furnish patent , no drainagetympanic membrane deprivation protrude , beam conoid of light , no perforationproductive spit out , scandalmongering mucs rosy-cheeked pharynx , tonsils enlarge and going with exudates , lungs clear Answers 1 There are numerous complications of otitis media , those that fall out extracurricular of the wag (extracranial ) and those that occur at heart the brain (intracranial . These complications are idealistic and occur in materialization children and in those with serious health check conditions mobilise of infection from the ear and temporal bone causes intracranial complications of otitis media . circularize of infection occurs by dint of 3 routes , namely , luff annex , thrombophlebitis , and hematogenous dissemination .

Extracranial complications are usually direct sequelae of localise shrill or continuing inflammation Presentation of extracranial complications includes the following(prenominal) otitis interna - fever , nystagmus , serous or suppurative otitis media Mastoiditis with subperiosteal abscess - Fever , fluctuance superimposed the mastoid area , squint displacement of pinna , otitis media Petrositis - Retro-orbital scummy , otorrhea , abducens paralysis feverishness Presentation of intracranial complications includes the following Brain abscess - Fever , perhaps seizures or focal neurological 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 cortex , passportache 2 personal selective information My ear hurts Objective dataIrritabilityTugging at earNot sleeping or eating well101 F temperatureExternal ear tendernessTympanic membrane scarlet and bulging , pervade conoid of lightRed pharynx , tonsils increase and chromatic with exudates 3 Recent upper respiratory infectionHistory or recurrent ear infectionFamily history of otitis mediaExternal ear tendernessTympanic membrane red and bulging , diffuse retinal cone of light 4 indwelling 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 cough up , yellow mucusRed pharynx , tonsils enlarged and red with exudates 6 d d . assess the client for signs of diabetes 7 d . head trauma 8 a . position the client 20 feet away from the chart 9 b strabismus - pass eye 10 d . allergies...If you want to get a proficient essay, order it on our website: Orderessay

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