Case Study 4: A middle-aged female presents to the office complaining of strep throat. She states she suddenly developed a sore throat yesterday afternoon, and it has gotten worse since then. During the night she felt like she was chilled and feverish. She denies known recent contact with anyone else who had strep throat, but states she has had strep before and it feels like she has strep now. She takes no medications, but is allergic to penicillin. The physical examination reveals a slender female lying on the examination table. She has a temperature of 101 degrees Fahrenheit, heart rate of 112, respiratory rate of 22, and blood pressure of 96/64. The head, eyes, ears, nose, and throat evaluation is positive for bilateral tonsillar swelling without exudates. Her neck is supple with bilateral, tender, enlarged anterior cervical nodes. To prepare: •Review this week’s media presentations and Parts 5–8 of the Buttaro et al. text. •Reflect on the provided patient information including history and physical exams. •Think about a differential diagnosis. Consider the role the patient history and physical exam played in your diagnosis. •Reflect on potential treatment options based on your diagnosis. POST 1 TO 2 PAGES ON : Explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis. REFERENCES/ MEDIA Institute for Safe Medication Practices. (n.d.). Retrieved November 28, 2012, from http://www.ismp.org/ Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby . ◦Part 5, “Evaluation and Management of Skin Disorders” (pp. 227–312) ◦Part 6, “Evaluation and Management of Eye Disorders” (pp. 313–344) ◦Part 7, “Evaluation and Management of Ear Disorders” (pp. 345–364) ◦Part 8, “Evaluation and Management of Nose Disorders” (pp. 365–384) Media •Laureate Education, Inc. (Executive Producer). (2013a). Case studies: Ear disorder. Baltimore, MD: Author. Laureate Education, Inc. (Executive Producer). (2013e). Case study: Throat disorder. Baltimore, MD: Author
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