Mod 3 AdvH Reply

Home>Homework Answsers>Nursing homework helpdiscussionsreplyYou should respond to both discussions separately–with constructive literature material- extending, refuting/correcting, or adding additional nuance to their posts.Minimum 150 words each reply with references under each reply.Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).case study # 2A 25-year-old Hispanic woman shows 12 days of runny nose, nasal congestion, and moderate tiredness. She says she has seasonal allergies, especially during spring pollen season—but adds that her symptoms are usually not bothersome in winter. Considering her presentation, more subjective information should be gathered to help define the cause of her symptoms. Important data would include headache, cough, fever duration, facial pain or pressure, and any recent sick contacts. Asking about the color and consistency of nasal discharge as well as any changes in smell or taste would further distinguish allergic rhinitis, viral rhinosinusitis, or acute bacterial rhinosinusitis (ABRS). A low-grade fever (100.4°F) points to an infectious cause, so it’s important to evaluate systemic symptoms such tiredness or myalgias.Objective results should comprise a complete sinus examination, including palpation for discomfort over the frontal or maxillary sinuses. Though not always reliable, transillumination may assist evaluating sinus opacification. Endoscopic examination might be considered, if possible, to evaluate for purulent discharge from the middle meatus, so supporting a diagnosis of acute bacterial rhinosinusitis  (ABRS) given the nasal findings of erythematic and edematous turbinates with yellow drainage (Al-Thobaiti et al., 2021). Especially if a cough is noted, further lung analysis should be done to rule out secondary lower respiratory involvement.For uncomplicated situations of rhinosinusitis, where the diagnosis is mostly clinical, diagnostic testing is usually not needed. But if symptoms last past 10 days or flare up following initial improvement, imaging such a CT scan of the sinuses might be justified to either confirm sinusitis or rule out complications. Unless a systemic infection is suspected, laboratory tests, including a complete blood count (CBC) are usually either unwanted. If allergic rhinitis continues to be a prominent differential, allergy testing could be deemed; however, her symptoms in absence of usual allergen exposure render this less probable.Three important differential diagnoses for this patient are allergic rhinitis with superimposed infection, acute bacterial rhinosinusitis (ABRS), and acute viral rhinosinusitis. Most often causing nasal symptoms, viral rhinosinusitis normally lasts 7 to 10 days and shows improvement by day 12, but her ongoing symptoms and low-grade fever point to bacterial superinfection. Symptoms lasting more than ten days with no relief, purulent nasal discharge, and fever point to ABRS. Unilateral yellow drainage and facial pressure would help to confirm this diagnosis. Given her limited typical allergen exposure in winter, allergic rhinitis by itself is less probable; however, a concomitant infection could account for her symptoms.These differentials can be explained by their clinical presentation and symptom duration. Viral rhinosinusitis is usually self-limiting whereas acute bacterial rhinosinusitis (ABRS) needs to be treated with antibiotics. Allergic rhinitis is commonly associated with watery rhinorrhea and pruritus; however, any of these symptoms are present in this case. Based on the findings, ABRS is the most likely diagnosis. Treatment options include amoxicillin-clavulanate or doxycycline which can be initiated if symptoms persist (DeBoer & Kwon, 2023). She would need to be close monitoring to ensure proper healing and to rule out complications, such as chronic sinusitis or secondary infection.case study # 3attachedCasestudy3.docxa month ago07.06.20256Report issueBids(53)MISS HILLARY A+Prof Double RProf. TOPGRADEfirstclass tutorDoctor.NamiraMiss Deannasherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganProWritingGuruIsabella HarvardBrilliant GeekPROF_ALISTERAshley EllieLarry Kellyabdul_rehman_miss AaliyahTutor Cyrus KenShow All Bidsother Questions(10)Immersion Experience PaperIntroduction to Supply Chain ManagementCase Study ProjectCompare and Contrast Financial and Managerial Accounting***Professor Anthony Only***discrete mathPCN 605 Week 8 Psychiatric Triageunit 5 International MarketingArab/Middle Eastern American familyDescribe the metabolic and physiological processes involved from the moment protein is ingested until it is oxidized in skeletal muscle. Discuss the contribution of protein to energy expenditure at rest and during exercise. Discuss the need for protein su

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