Case Study: Red Nose

A 40-year-old woman comes to the clinic with a history of worsening nasal congestion and recurrent sinus infections. She had been healthy until about 1 year ago when she first noticed persistent rhinorrhea, sneezing, and stuffiness. She noted that when she went on a 2-week vacation to Mexico, her rhinorrhea disappeared, only to return when she came home again. She has lived in the same house for the past 5 years along with her husband and one child. They have had a dog for 4 years and a cat for 1 year. On physical examination, she has boggy, swollen nasal turbinates and a cobblestone appearance of her posterior pharynx.

This paper explores a regional issue of White-Nose Syndrome in bats throughout Missouri. Left untreated this fungus could cause several endangered bat species to become extinct. There are several new experiments to see if we can control the spread of White-Nose Syndrome including exposing bats to a bacterium, creating man made hibernation stations or other changes within the bats makeup. The best results we have seen so far must go back to the preservation of a banana. This bacterium may be the best way to preserve our current way of life without hopefully changing to world around us greatly as well.

What are the uses of drugs used to treat lower respiratory tract disorders: sympathomimetics, anticholinergics, inhaled steroids, lung surfactants, and mast cell stabilizers?

I can distinctly remember myself as a young child walking outside at dusk and looking up into the sky seeing a recurring black cloud floating above, swooping and diving like a synchronized ballet above me. Now, sixteen or so odd years later when I visit my parents country home in North Georgia, I no longer see the performance dancing above me. This is a sad reminder of a much bigger issue. The issue I am referring to is the huge decline in the eastern bat population due to WNS or White Nose Syndrome.

White nose syndrome is a fungus that grows on hibernating bats’ muzzles that has killed nearly 6 million of them. Although traditionally found in most if not all eastern states, bats in caves as far south as Mississippi, as far west as Oklahoma, and as far north as Canada have been found with the devastating fungus. Infecting 47 species of bats, the disease was first noticed in the winter of 2006-2007 in New York, because of the odd behavior of the bats. It was later discovered that the fungus, Pseudogymnoascus destructans, causes infected bats to exhibit uncommon behavior such as flying during the day. Scientist have discovered that this fungus, which distributed hydration cycles, caused the bats to awake early during hibernation in order

Per Rave, Nasal Swab was collected 1hr. after the Flu-Pro questionnaire was completed and PK was not collected at this visit because of the weekend scheduled.

Chelsea looks in the mirror and frowns. She cannot get past the huge tree-trunk looking extremity that she is supposed to call her arm. She goes through her normal daily routine of self-care, careful not to scrape herself. Chelsea needs groceries and wants to go to the bank, but she decides to stay indoors. She cannot emotionally bear the weight of people staring at her. Never mind the embarrassment of having to ask someone to help her pick up a gallon of milk because her branch cannot do it for her. Chelsea has a disease called Lymphedema. Lymphedema is a disorder that affects the vessels in the lymphatic system. There are many causes of this limiting illness; fortunately, there are also treatment programs occupational therapists can implement

TJ is a 25-year-old Hispanic female, born on September 21st 1991 in Queens, New York. Participant would be at risk for hypertension, diabetes, and heart failure based on familial history. Obesity would be one of the precursor that puts TJ at a higher risk for developing diabetes. Obesity comorbid with Asthma later in life puts TJ at higher risk for having respiratory failure. Hidradenitis Suppurativa (HS) is a debilitating autoimmune disorder. The lesions can cause agonizing pain, and discomfort that can interfere with activities of daily living. This can also impact activities that can help alleviate the symptoms such as exercise. The fact that TJ is obese, only exacerbates the symptoms of the condition. Since HS is an autoimmune disease,

Hidradenitis Suppurativa also called acne inversa is a disease that affects most areas where oil and sweat glands are found. It can affect a single area or multiple areas of the body. At first it resembles a pimple or blackhead. This triggers for this disease are people who are overweight, smoke and women are three times more likely to get this disease than men. It usually develops when people hit puberty. There is not a definite cause of this disease, there are different factors such as hormones and an overactive immunity that play a role. Hidradenitis suppurativa most occurs in areas where skin touches skin, such as under your arms, genitals, under the breast and upper thighs. The early signs appear as a break out. Late signs are foul smelling

Sunday | 18th October 2015 : Allergic Rhinitis, the most common cause of Rhinitis is quiet a common disease, and statistically speaking, it affects 20% of the total population. Dr. Neha Sood, Consultant, ENT & Cochlear Implant, BLK Super Speciality Hospital comments on the symptoms, the causes and the cures of the disease in her latest blog post which you can read at : http://bit.ly/1OynYh0 For coming week : Hernia is a common, yet painful condition that can happen due to several causes, often as simple as lifting heavy weights or even due to coughing! It’s a common complication which has a simple surgery as a cure. Dr. (Prof.) K. N. Srivastava, Sr. Consultant & HOD, General and Minimal Access Surgery, BLK Super Speciality Hospital talks about

I really like that you added Allergic Rhinitis to your secondary diagnosis. Allergic Rhinitis is common in patients with asthma. Guidelines recommend the use of long acting antihistamines or intranasal corticosteroids. First generation antihistamines are sedating and should be avoided. So it is recommended the patient be placed on a second generation antihistamine (Greener, 2015). Since the patient is already used to taking Zyrtec then I would just tell her to go ahead and take her medication daily. This way she would not be out any more money.

Yellow Face Events & Activation is a single window agency that provides services to its client which helps them to achieve a higher brand image. It is specialized in delivering marketing solution such as exhibitions, corporate events and interior designing and helps its client to connect with their target audience.

The patient is a 39 year-old male with obesity, sleep apnea, allergic rhinitis who presented to primary care physician with elevated liver enzymes incidentally found on routine employee physical. The patient complained of shortness of breath with exertion, chronic mild productive cough, and occasional wheezing. His shortness of breath improved with an inhaled bronchodilator. He reported snoring as a child, and recurrent ear infections for the past 15 years. Patient experienced hives in reaction to penicillin and tetanus. Of note, the patient worked in a steel mill as a maintenance coordinator and was a member of the Hazmat and Fire Rescue team. He reported exposure to smoke at this job, and he occasionally smoked cigars. He denied any family

The nasal septum is a midline support structure of the nasal cavity. Aside from being a key support mechanism of the nose and a major determinant of its shape, the space between the septum and lateral walls of the nasal cavity regulates nasal airflow and respiration. Within the nasal cavity, a straight septum enables laminar airflow, allowing the inspired air to be warmed, cleaned and humidified and thus optimized for gas exchange. Conversely, a deviated

CASE ONE CONTINUED: She returns in three weeks. Her chest X-ray was normal. Her symptoms are unchanged.