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WEEK 7 - Assignment Example

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A 10-year-old male camper presents to the camp nurse with a pink crusted R eye, lashes stuck together and felt like grit in the eye- which he awoke to; worsening sore throat for two days; and earache for three days which becomes worse during the night. The possible differential…
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Download file to see previous pages... For this section, the topic of discussion is conjunctivitis, in particular, bacterial conjunctivitis. Bacterial conjunctivitis is common in children (Dolan & Holt, 2013). Any further history questions include:
A positive or negative retort given by the patient will give a proper diagnosis of the medical condition. This is by attaining the exact information in determining the diagnosis, thereby an exact diagnosis. A negative response will refute the differential diagnosis. Thus, intensive patient history will be done so as to get the right diagnosis.
The signs presented by the 10-year-old that support the diagnosis of bacterial conjunctivitis. This is by the symptoms exhibited- pink eye, crusted right eye with lashes held together. In addition, the patient complained of a sensation of grit in the eye. Bacterial conjunctivitis is presented by acute redness, discharge and burning. The discharge appears in the morning and is variable (Yanoff & Duker, 2008). The patient also has challenges in opening the eye because of the glue effect of the discharge. Moreover, the patient presents with an earache that persists night, which suggest otitis externa. Signs of right ear tenderness over tragus, copious creamy yellow exudates in the canal, and the canal narrowed are seen; which are linked to the disease (Buttaro, 2013). Additionally, the patient complains of a sore throat is a strong indication of streptococcal pharyngitis. The patient exhibits signs of loss of appetite for solid foods, which is a strong indication of this condition. Also, there is evidence of tonsils enlarged with purulent exudates bilaterally and uvula midline (Nair & Peate, 2015).
Conjunctivitis is an inflammation of the conjunctiva. The infecting organism in bacterial conjunctivitis is received through contact with an infected person and transported to the eye through fingertips. The common causative agents include Staphylococcus aureus, Haemophilus influenza and Streptococcus pneumonia. ...Download file to see next pagesRead More
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