Review the documented subjective and objective history in the two rooms below, Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis for each.Room 1:Demographics:2-year-old male, Richie, brought to the clinic by his mother Rachel Regis for nasal congestion and tugging at his left ear.Subjective:Chief complaint (CC): “he has nasal congestion and he has been tugging on his left ear”HPI: The patient presents accompanied by his mother who gives the history. Richie has had nasal congestion for the past 5 days. He has been slightly irritable but he has been eating as usual until this morning. The mother reports he woke up suddenly at 5 am crying and she was unable to console him with the usual measures. He was extremely irritable and refusing the water that the mother offered him. She noticed that he was tugging on his left ear intermittently. He felt warm as if he has a fever but the mother did not have a thermometer at home to check his temperature.Objective:Vitals: T-103.5, BP- 122/85, P-101, R-30Richie is a 2-year-old male seen today with his mother. The mother is holding and rocking him on her lap. He appears to be acutely moderately distressed. He is expectedly uncooperative and resisting the physical exam. His face is flushed, his skin is warm and slightly moist. Otoscopic examination reveals the left eardrum is red, inflamed, and convex. No drainage noted.Room 2Room 2: 47yo Roy Regis reports history of itching and irritation around his right eye.HPI: 47yo Roy Regis reports history of itching and irritation around his right eye. Symptoms began 2 days prior during a wood chopping event and reports discharge, turning crusty when he wakes. Right eye “glued shut” in mornings, itching. No sick contacts. No eye trauma. Pt rates pain to right eye 6/10.PE: T-98.4; BP 131/78; P 78; RR-17.Eye trauma is when the eye receives a direct or close blunt to the eye. When the eye receives a blow, it can cause blood to collect underneath the hit area, which leads to many of the mutual symptoms of eye trauma. (Bausch, Lomb,2020) Some of these symptoms can be itching, pain irritation, as well as redness. (Bausch and Lomb,2020) Every single eye trauma incident could present differently but with similar signs and symptoms. The initial approach to eye injury, must involve careful triage. (Uptodate,2020) Eye injuries are extremely fragile, and it is imperative emergent eye injuries are recognized at a glance and evaluated. Questions regarding the injury will be beneficial to complete the assessment. How the injury happened? How long ago did the injury occur. When did the pain start in the eye? Management of an injured eye requires meticulous history taking, evaluation of vision that measures the acuity and if there is a relative pupillary defect as well as careful inspection of the eyes, under anesthetic if necessary. (Scott,2011) The moment life-threatening injuries eliminated treated, the emergency clinician should identify threats to vision using a focused history and an organized approach. (Gardiner,2020)
At 111papers.com, we value all our customers, and for that, always strive to ensure that we deliver the best top-quality content that we can. All the processes, from writing, formatting, editing, and submission is 100% original and detail-oriented. With us, you are, therefore, always guaranteed quality work by certified and experienced writing professionals. We take pride in the university homework help services that we provide our customers.
As the best homework help service in the world, 111 Papers ensures that all customers are completely satisfied with the finished product before disbursing payment. You are not obligated to pay for the final product if you aren’t 100% satisfied with the paper. We also provide a money-back guarantee if you don’t feel that your paper was written to your satisfaction. This guarantee is totally transparent and follows all the terms and conditions set by the company.Read more
All products that we deliver are guaranteed to be 100% original. We check for unoriginality on all orders delivered by our writers using the most advanced anti-plagiarism programs in the market. We, therefore, guarantee that all products that we submit to you are 100% original. We have a zero-tolerance policy for copied content. Thanks to our strict no plagiarized work rule, you can submit your homework to your professor without worrying.Read more
TThis is one of the most cherished courtesy services that we provide to help ensure that our customers are completely satisfied with our finished products. Delivering the best final product to our customers takes multiple inputs. 111papers.com prides itself on delivering the best university homework help services in the writing industry. And, in part, our free revision policy is how we do it. What’s more, all our revisions are 100% free without any strings attached.Read more
Client privacy is important to use. We know and understand just how important customers value their privacy and always want to safeguard their personal information. Thus, all the information that you share with us will always remain in safe custody. We will never disclose your personal information to any third party or sell your details to anyone. 111 Papers uses the most sophisticated, top-of-the-line security programs to ensure that our customers’ information is safe and secured.Read more
Placing your order with us means that you agree with the homework help service we provide. We, in turn, will endear to ensure that we do everything we can to deliver the most comprehensive finished product as per your requirements. We will also count on your cooperation to help us deliver on this mandate. Yes, we also need you to ensure that you have the highest-quality paper.Read more