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.
• Review this week’s media presentations and Parts 5–8 of the Buttaro et al. text.
• Select one of the four case studies provided. 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 on or before Day 3 an 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.
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Advanced Practice Care of Adults Across the Life Span (NURS – 6531N – 20)
Go to Resources
Go to media
• Laureate Education, Inc. (Executive Producer). (2013a). Case studies: Ear disorder. Baltimore, MD: Author.
Note: The approximate length of this media piece is 11 minutes.
This media presentation features an evaluation of a patient presenting with an ear disorder
Listen to Media prior to writing the Discussion.