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Tympanic Membrane by Lisa Mike FILE T IME SUBMIT T ED 17 - DEC- 2016 12:02PM SUBMISSION ID 7 54 4 537 7 9 WORD COUNT 14 00 CHARACT ER COUNT 7 57 8 ORDER_4 4 897 _109194 .DOC (39.5K) %35 SIMILARIT Y INDEX %7 INT ERNET SOURCES %4 PUBLICAT IONS %34 ST UDENT PAPERS 1 %30 2 %2 3 %1 4 %1 5 %1 EXCLUDE QUOT ES OFF EXCLUDE BIBLIOGRAPHY OFF EXCLUDE MAT CHES OFF Tympanic Membrane ORIGINALITY REPORT PRIMARY SOURCES Submitted to EDMC St udent Paper Submitted to AUT University St udent Paper journals.lww.com Int ernet Source etheses.bham.ac.uk Int ernet Source ukplatinumessays.com Int ernet Source Tympanic Membraneby Lisa MikeTympanic MembraneORIGINALITY REPORTPRIMARY SOURCES 1 Running head: WEEK TWO ASSIGNMENT TWO 8 WEEK TWO ASSIGNMENT TWO Week Two Assignment Two: Tympanic Membrane and Thyroid Gland Sample Student Paper South University NSG 3012 Week Two Assignment Two: Tympanic Membrane and Thyroid Gland Conducting a thorough examination of the tympanic membrane and thyroid gland can identify the cause of presenting symptoms. When a patient reports ear pain, blockage, loss of hearing, and/or ear ringing the nurse will need to perform a thorough assessment to identify the cause. Tympanic ear perforation is one issue that may be identified. Additionally, when a patient reports recent weight loss, weight gain, hair loss, fatigue, irritability, and sensitivity to heat or cold, the nurse may suspect thyroid problems and will examine the thyroid. Dysfunction of the thyroid can lead to many problems, hypothyroidism is one such issue, caused by the thyroid not producing the thyroid hormone (Jarvis, 2016). An overview of the tympanic membrane and thyroid gland will be discussed to further detail the associated assessments. Health History One A 19-year-old Hispanic male presents to the primary care office with a constant earache lasting three days. He describes the dulling pain as deep in his left ear. He rates the pain as a 10 out of 10. He has a temperature of 101.1. It is suspected the patient may have an ear infection. The patient reports a history of ear infections. Patient denies hearing loss, discharge, ringing or buzzing, and/or ear injury. Findings for Tympanic Membrane Examination of the ear are mainly performed using inspection and palpation (Jarvis, 2016). The client was seated on the exam table, with the examiner’s head at the same level as the client’s. The examiner begins by inspecting both auricles for abnormalities. No abnormalities were noted, but the left ear is red in color. The auricles and mastoid areas were palpated to check for swelling, tenderness, or nodules. The left ear was tender to touch. When using an otoscope, the provider is examining the external auditory canal and tympanic membrane. When inspecting the pinna, it is important to look for lesions (Kalyanakrishnan, Sparks, & Berryhill, 2007). Inspecting the canal, the examiner is looking f ...
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Make a SOAP Note: Assessing Ear, 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 Discussion, 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. Note: By Day 1 of this week, your instructor will have assigned you to one of the following case studies to review for this Discussion. Also, your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Case 1: Nose Focused Exam Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he's taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous. Case 2: Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus over the past two weeks, Lily figured she shouldn't take her three-day sore throat lightly. Your clinic has treated a few cases similar to Lily's. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn't sound congested. Case.
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APA format for SOAP NOTE 3 peer review articles 1 and half pages long please follow below instructions Analyze the possible conditions from your colleagues' differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition and justify your reasoning case Study #3 Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked S Cc: “Earache right ear” HPI: Patient is an 11-year-old Caucasian boy who was brought in by his grandmother after complaining about having a mild earache for the past two days. Patient states that the pain is worse when he falls asleep and that it has become harder for him to hear, grandmother believes that he feels warm but has not taken his temperature Medications: Patient does not take any medications PMH: No significant illnesses, shots are up to date FH: No history of previous ear concerns no family history of ear disease. During the school year, patient lives at home with his mother, father and he does not have pets. Patient is staying with grandmother and grandfather most of summer SH: Student in public school and is currently on summer break, has been spending a lot of time this summer in the pool per his grandmother that he is spending the summer with. ROS: general: negative for chills fever currently EENT: complains of mild right ear pain and mild hearing loss, denies tinnitus, denies pain in throat, or eye pain O VS: T 100.8, P 94, R 18, BP 98/64 General: Patient appears to be in mild pain, holding head to right side slightly HEENT: right tympanic membrane obscured, ear canal is read and has a musty odor from ear canal with small amount of watery drainage, head is normocephalic without signs of trauma, no nasal drainage, PEARL, no complaints of sore throat, no redness in throat SKIN: Warm and dry, good skin turgor, prominent tan NECK: No lymph node edema or signs of pain on palpation NEUROLOGICAL: No complaints of headache or dizziness Diagnostic results. WBC slightly elevated, low grade temp A Differential Diagnoses: 1) Acute Otitis Externa 2) Acute Otitis Media 3) Pharyngitis Primary diagnoses/presumptive diagnoses: Acute otitis media P – not indicated per template Assessing for a possible ear infection would require additional information from the patient in addition to a physical assessment of the ear and the patient. Obtaining background information including recent travel, activities, family history, trauma, history of previous illnesses and treatments that have been used for treatment that were successful or not successful. Diagnostic studies used to diagnose the specific pathogen would include obtaining a culture of purulent drainage, simple otoscopy was mostly used for diagnosing AOM (D’silva, 2013) or a more invasive way of evaluating white blood cell elevation is by completing a CBC which is not used as often as visual inspection of the ear canal. White blood cell count (WBC), a cl ...
APA format for SOAP NOTE 3 peer review articles 1 and half pages lon
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APA format in a SOAP Note format. 1 page long with questions as to which diagnosis would be accurate and why. I have included the references I need 3 peer review articles to be included Patient Information: Initials : JS Age : 11 Sex : M Race : Caucasian SJ CC: Patient complaining of a mild right earache for the last two days and trouble hearing from that ear. HPI : James Jones is an 11 year old Caucasian male who presents to the clinic with complaints of a right earache for the last two days. The patient reports worsening pain at night when trying to fall asleep and difficulty hearing out of that ear. The patient rates is earache pain 5/10 and describes it as sharp and constant. The patient has taken 600mg ibuprofen with minimal relief of pain. The patient reports that he has been spending a lot of time swimming in the pool this summer. Current Medications : 1. Ibuprofen 600mg PRN for earache pain Allergies: NKA PMHx : Up to date on all immunizations. No significant PMH. Soc Hx : Patient lives with two siblings and supportive parents in a safe neighborhood in Boston. The patient is currently in middle school and enjoys playing soccer, fishing with his dad and swimming in his pool during the summer. Fam Hx : Maternal grandmother died of a stroke at the age of 70. No other significant family history. ROS : GENERAL: No fever, fatigue or chills. No weight loss. HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclerae. Ears: Patient reporting pain in right ear and hearing loss. Nose, Throat: No sneezing, congestion, runny nose or sore throat. SKIN: No rashes or itching. RESPIRATORY: No shortness of breath, cough or sputum. GASTROINTESTINAL: No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood. NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control. LYMPHATICS: No enlarged nodes. No history of splenectomy. ALLERGIES: No history of asthma, hives, eczema or rhinitis. O. GENERAL: Patient comes to the clinic with his grandmother, patient appears uncomfortable, is rubbing his right ear and having difficulty hearing. HEENT: PEERLA. Ears: Right ear canal is erythematous and edematous with pus present, tympanic membrane is difficult to visualize. Hearing difficulty with right ear. Left ear canal is intact without erythema or edema, tympanic membrane is clear and intact. Nose : Nose is patent without any rhinorrhea. Throat: Oropharynx is clear, without erythema or exudates, mucous membranes are moist, pink and intact. (Sullivan, 2012). SKIN: Skin color is normal for patient, intact, without rashes or lesions. Skin turgor is good. RESPIRATORY: LS CTA bilaterally, no sternal retractions noted. GASTROINTESTINAL: Abdomen is soft, nontender, nondistended. + BS in all quadrants. No bruits noted. No splenomegaly or masses present. NEUROLOGICAL: Cranial ...
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A short presentation describing, very generally, the reasoning and methods used to evaluate hearing in neonates and older pediatric patients, up to 7 years of age. Slides compiled as part of medical school studies. Sources for all imagery and sources listed in references section where possible. I do not claim ownership of any images or graphics. Slides for educational purposes only, and should not replace clinical judgement. No monetary gain was made for this work.
Evaluation of Hearing in Children - from birth until 7 years old
Evaluation of Hearing in Children - from birth until 7 years old
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Presentation13
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RIPE 2012 Pediatrics OSCE
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Blood group antibodies different reaction grades test material required for antibody identification procedure antibody screening using 2-3 cell panel antibpdy identification using 11 cell panel immediate spin phase 37 degree c ahg phase check cells interpretation antibody workups enzyme technique
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Cervical screening – taking care of your health flipchart (Vietnamese)
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Holistic Approaches to Depression, Mental Well-Being, Mind Health, and Stress Treatment.
Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...
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Co-Chairs and Presenter Marianne Davies, DNP, ACNP, AOCNP, FAAN, Beth Sandy, MSN, CRNP, FAPO, and Matthew A. Gubens, MD, MS, FASCO, prepared useful Practice Aids pertaining to NSCLC for this CME/MOC/NCPD/ILNA/IPCE activity titled “Making Patient-Centric Immunotherapy a Reality in Lung Cancer: Best Practices for Patient Education, irAE Management, and Survivorship Care.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/ILNA/IPCE information, and to apply for credit, please visit us at https://bit.ly/3RDokbZ. CME/MOC/NCPD/ILNA/IPCE credit will be available until May 24, 2025.
Making Patient-Centric Immunotherapy a Reality in Lung Cancer: Best Practices...
Making Patient-Centric Immunotherapy a Reality in Lung Cancer: Best Practices...
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Overview on the Automatic pill identifier
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world hypertension day 17th may 2024
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Title: Application of Checklist-Based Nursing Care Process in Patients Undergoing Intervention for Coronary Chronic Total Occlusion: A Quasi-Randomized Study Presenter: Sonia Pal, M.Sc. Nursing 2nd Year Journal: BMC Nursing (2023) Authors: Xia Ge, Haiyang Wu, Zhe Zang, and Jiayi Xie DOI: 10.1186/s12872-023-03627-8 Study Overview: This presentation focuses on the effectiveness of a checklist-based nursing care process for patients undergoing interventions for coronary chronic total occlusion (CTO). The study employs a quasi-randomized design to assess improvements in patient care outcomes. Key Points: Background: CTO interventions are complex, and traditional nursing methods have not been highly effective, necessitating the exploration of new approaches. Objective: To investigate the effectiveness of a checklist-based nursing care process in improving care quality, reducing patient anxiety, increasing patient satisfaction, and minimizing adverse events. Methodology: Design: Quasi-randomized study Setting: Department of Cardiology, Shengjing Hospital, China Medical University, Shenyang, China Participants: 120 patients undergoing CTO interventions Groups: Intervention group (checklist-based care) and control group (standard care) Tools: Preoperative and postoperative PCI nursing care checklists, Zung Self-Rating Anxiety Scale, satisfaction questionnaires for doctors and patients Ethical Considerations: The study adhered to the Declaration of Helsinki, with informed consent obtained from all participants. Results: The study aimed to demonstrate that checklist-based nursing care could enhance nursing efficiency and patient outcomes compared to conventional methods. Quality Control: A quality control team ensured adherence to the checklist and study protocol, with regular training and supervision of nursing staff. Conclusion: The presentation concludes with findings supporting the effectiveness of checklist-based nursing care in CTO interventions, suggesting improvements in patient care processes and outcomes. The study highlights the importance of structured nursing protocols in complex medical procedures.
Sonia Journal club presentation (2).pptx
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Hello, I’m Dr. Mariam Abayomi, an Intern doctor in Jamaica, passionate about promoting health and wellbeing. I invite you to explore my latest presentation on Failure to Thrive (FTT), a condition that can significantly impact a child’s growth and development. In this presentation, you'll learn about: - Understanding FTT: What is Failure to Thrive? We’ll break down the medical definition, common causes, and symptoms to watch for. - Case Study Insight: Meet [Child’s Name], a [age]-month-old who struggled with FTT. Through their story, we’ll explore the real-life application of diagnosing and managing this condition. - Diagnostic Approaches: From growth charts to lab tests, discover the essential tools and methods used to identify FTT. - Management and Treatment: Learn about the multidisciplinary strategies employed to help children with FTT thrive, including nutritional support, medical treatments, and family education. - Key Takeaways: Highlighting the importance of early detection, comprehensive care, and ongoing monitoring to ensure the best outcomes for children. By following me on social media @HealthInspire, you’ll get updates, tips, and insights into health and wellbeing. Whether you’re a healthcare professional, a student, or a parent, my goal is to provide you with reliable information, support, and a bit of humor to navigate the world of health and wellness. Join me in making a difference – one informed decision at a time. Let's inspire better health together!
Failure to thrive in neonates and infants + pediatric case.pptx
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A rare case of double-diverticulae of the Gallbladder found during a routine elective cholecystectomy is presented including intra operative and specimen images.
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