Sinusitis Case Study Essay

L.M. is a 75-year-old female who suffers from severe dementia and lives in a SNF. She was diagnosed with lung cancer in 2005 and as a result had a right upper and middle lobectomy. She also has a history of severe emphysema. L.M. has had several pneumonic infections and has an allergy to Pneumovax. She has a recurrent aspiration risk and received a tracheostomy and a PEG tube in January 2012.

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.

A 25 Y/O male present with acute sinusitis. Based on your knowledge, the most likely causative organisms include all of the following except:

There are many disorders of the lungs. The most common of these disorders are Chronic Bronchitis. This specific disorder has multiple causes and fortunately can be treated. The treatment will depend on the prognosis of the disorder.

Bronchiolitis is a lower respiratory infection caused commonly by the respiratory syncytial virus (RSV) in the first two years of life. Nearly every child in the United States will be infected with RSV before its second birthday. The condition is a leading cause of hospital admissions among children under the age of two. The populations most frequently and severely affected by bronchiolitis include; infants less than 12 months of age, children born at a low gestational age (less than 32 weeks), and children with chronic lung disease, congenital heart disease, or immunodeficiency. Standardized and proper diagnosis and management are essential to effective treatment. The guideline established by the Academy of Pediatrics (AAP) in 2014 provides practitioners with recommendations for diagnosis, management, and prevention of bronchiolitis in children.

Based on the findings from the case study was R.S has been a smoker for many years. One of the most significant risk factors for determining COPD is cigarette smoking. In determining this we need to the amount he has smoked as well as how often he has smoked that lead to the chronic bronchitis. What that means is that the airway mainly the bronchi is inflamed. Since it is chronic, which is a specific condition has been occurring for many years. This kind of diagnosis can lead to the coronary artery disease and peripheral arterial vascular disease.

Dr. Andrew Jamison of Sleep Medicine Associates of Texas, states in a briefing available online that 2/3 of CPAP users experience side effects to include rhinorrhea, nasal congestion, nasal/oral drying, epistaxis (bleeding from the nostril or nasal cavity), insufflation of tear ducts, insufflation of middle ear, tympanic membrane rupture, increased intraocular pressure (fluid pressure in the eye), sinus discomfort, difficulty exhaling, cardiac arrhythmias (such as a bradycardia), ANP (atrial natriuretic peptide) suppression (a unique hormone that regulates blood pressure and fluid

He denied recent changes in weight or appetite. He reported having a sinus infection approximately 6 weeks ago (congestion, sore throat, sinus inflammation). No fever, chills, malaise, chest pain, dyspnea, abdominal pain, diarrhea, constipation, urinary symptoms, joint pain, or back pain. Neurological complaints as per CC and HPI.

In the early morning hours on a Sunday, a worried mother brought in a 22-month old child to the emergency room. The young girl was exhibiting signs of a common cold, including a low-grade fever and runny nose that had been persisting for the last 48 hours. The child also had a hoarse cough and forced, noisy breathing. Her larynx was raw and swollen and she had mucus coating her red throat. Upon examination, the pediatrician also noticed mild inflammation of the ears and cloudy eyes. A rapid Strep test performed on the child came back negative, and a warm vaporizer helped to alleviate her difficulty breathing.

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

Dykewicz, M.S. and D.L. Hamilos, Rhinitis and sinusitis. Journal of Allergy and Clinical Immunology, 2010. 125(2, Supplement 2): p. S103-S115.

Healthcare-associated pneumonia (HAP) is a common complication of being hospitalized, especially in the elderly. On average, HAP increases the length of stay (LOS) to seven to nine days, adds $40,000 to $65,000 in cost of care, and is a big contributor to morbidity and mortality risks (Quinn, et al., 2014). The World Health Organization reports that 1.4 million people die annually related to pneumonia infections (Driver, 2012). A comparison of community-acquired pneumonia (CAP) and HAP indicates that it is more likely to contract a multi-drug resistant pathogen to HAP than it is to CAP (Pássaro, Harbarth, & Landelle, 2016 ). To ensure adequate patient care and to significantly decrease risks of infections, specifically HAP, it is essential for proper nursing care to be implemented to clients.

Zheng Dian, a 28 year Asian male came in to the clinic today with c/o pain in the eye and upper jaw area. Symptoms started 4 days ago which presented as nasal congestion, rhinorrhea and tooth ache. The symptoms gradually worsened and the patient now feels tenderness and tightness in the face especially around the eye and upper jaw. Patient feels that symptoms stay constant throughout the day. He reports yellow green discharge from the nose. Patient reports he had fever, slight cough and bad breath. He mentions that sporadically “his ears feel full” and “his face feels like it is going to pop when he bends down”. Patient is in 7/10 pain. Patient has tried OTC allergy medication, aspirin, chicken soup, as well as hot and cold compresses. He

I understand that he has had a return of his sinus symptoms. Thank you for commencing him on some saline sinus rinse and Nasonex and organising

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