Inflammatory and Infectious Disorders of the Nose, Sinuses, Mouth, and Throat

Case Study:

A 48-year-old female patient presents to the facility complaining of headache and sore throat. The patient reports having a fever of 100.6°F in the last 24 hours, which returned to normal after she took 1,000 mg of acetaminophen. The patient has a history of seasonal allergies; however, she reports that they usually affect her in the spring, never accompanied by fever.

As it is now October, the patient is concerned that she may be getting the flu. The patient reports receiving a flu shot at work but thinks the shot may have exposed her to the flu virus. Vital signs taken upon arrival are within normal limits with the exception of temperature, which is 101°F.

Please post your responses to the following questions in the Unit 5 Discussion Board.

Case Questions

1. Many of the symptoms reported lead you to suspect viral rhinitis as the cause of the patient’s symptoms. What other symptoms reported by the patient would support your theory of viral rhinitis?
2. If the patient has viral rhinitis, what would you expect to see upon physical examination?
3. Feeling confident in your initial theory of viral rhinitis, you are still concerned about the patient reporting a previous fever and the fever noted upon arrival. When you inquire about any nasal discharge, the patient reports that the nasal discharge was clear when she first began sneezing; however, it has progressed to a thick, greenish-yellow color. Does this rule out viral rhinitis?
4. To relieve the symptoms experienced by the patient, what treatment regimen is indicated for this patient?

MN573 Unit Readings

Unit 1

Textbook Readings

Neinstein’s Adolescent and Young Adult Health Care: A Practical Guide, 6th ed.

• Chapter 2: “Normal Physical Growth and Development”

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 4: “The Art of Diagnosis and Treatment”
• Chapter 77: “Primary Care of the Older Adult”

Geriatric Nursing Review Syllabus: A Core Curriculum in Advanced Practice Geriatric Nursing, 6th ed.

• Chapter 2: “Biology”
• Chapter 5: “Assessment”

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 2

Textbook Readings

Neinstein’s Adolescent and Young Adult Health Care: A Practical Guide, 6th ed.

• Chapter 21: “Acne”
• Chapter 22: “Miscellaneous Skin Conditions”

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 11: “Common Skin Problems”
• Chapter 12: “Parasitic Skin Infestations”
• Chapter 13: “Fungal Skin Infections”
• Chapter 14: “Bacterial Skin Infections”
• Chapter 15 “Viral Skin Infections”
• Chapter 16: “Dermatitis”
• Chapter 17 “Skin Lesions”
• Chapter 72: “Common Urgent Care Complaints,” page 1207

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 3

Textbook Readings

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 60: “Common Hematological and Immunological Complaints”
• Chapter 61: “Hematological Disorders”
• Chapter 62: “Immunological Disorders”

Geriatric Nursing Review Syllabus: A Core Curriculum in Advanced Practice Geriatric Nursing, 6th ed.

• Chapter 66: “Hematology”
• Chapter 67: “Oncology and Hematologic Malignancies”

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 4

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 56: “Endocrineand Metabolic Complaints”
• Chapter 57: “Glandular Disorders”
• Chapter 58: “Diabetes”
• Chapter 59: “Metabolic Disorders”

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 5

Textbook Readings

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 18: “Common Eye Complaints”
• Chapter 19: “Lid and Conjunctival Pathology”
• Chapter 20: “Visual Disturbances and Impaired Vision”
• Chapter 21: “Common Ear, Nose and Throat Complaints”
• Chapter 22: “Hearing and Balance Disorders”
• Chapter 23: “Inflammatory and Infectious Disorders of the Ear”
• Chapter 24: “Inflammatory and Infectious Disorders of the Nose, Sinuses, Mouth and Throat”
• Chapter 25: “Epistaxis”
• Chapter 26 “Temporomandibular Disorders”
• Chapter 27: “Dysphonia”
• Chapter 72 “Common Urgent Complaints,” pages 1201-1202

Web Resources:

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 6

Textbook Readings

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 34: “Common Cardiovascular Complaints”
• Chapter 35: “Cardiac and Associated Risk Disorders”
• Chapter 36: “Dysrhythmias and Valvular Disorders”
• Chapter 37: “Disorders of the Vascular System”
• Chapter 72: “Common Urgent Care Complaints.” pages 1207-1208

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from http://www.epocrates.com/

Unit 7

Textbook Readings

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 28: “Common Respiratory Complaints”
• Chapter 29: “Sleep Apnea”
• Chapter 30: “Infectious Respiratory Disorders”
• Chapter 31: “Inflammatory Respiratory Disorders”
• Chapter 32: “Lung Cancer”
• Chapter 72: “Common Urgent Care Complications,” pages 1200-1201.

Geriatric Nursing Review Syllabus: A Core Curriculum in Advanced Practice Geriatric Nursing, 6th ed.

• Chapter 49: “Pulmonology”

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 8

Textbook Readings

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 43: “Common Urinary Complaints”
• Chapter 44: “Urinary Tract Disorders”
• Chapter 45: “Kidney and Bladder Disorders”
• Chapter 72: “Common Urgent Care Complaints,” page 1208.

Geriatric Nursing Review Syllabus: A Core Curriculum in Advanced Practice Geriatric Nursing, 6th ed.

• Chapter 54: “Nephrology”

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 9

Textbook Readings

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 52: “Common Musculoskeletal Complaints”
• Chapter 53: Spinal Disorders
• Chapter 54: “Soft-Tissue Disorders”
• Chapter 6: “Common Neurological Complaints”
• Chapter 10: “Infectious and Inflammatory Neurological Disorders”
• Chapter 72: “Urgent Care Complaints,” pages 1203-1205.

Geriatric Nursing Review Syllabus: A Core Curriculum in Advanced Practice Geriatric Nursing, 6th ed.

• Chapter 17: “Palliative Care and Pain Management”

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Unit 10

Textbook Readings

Primary Care: Art and Science of Advanced Practice Nursing, 5th ed.

• Chapter 38: “Common Abdominal Complaints”
• Chapter 39: “Infectious GI Disorders”
• Chapter 40: “Gastric and Intestinal Disorders”
• Chapter 46: “Common Reproductive System Complaints”
• Chapter 47: “Breast Disorders”
• Chapter 48: “Vaginal, Uterine, and Ovarian Disorders”
• Chapter 49: “Prostate Disorders”
• Chapter 50: “Penile and Testicular Disorders”
• Chapter 72: “Urgent Care Problems,” pages 1206-1207.

Neinstein’s Adolescent and Young Adult Health Care: A Practical Guide, 6th ed.

• Chapter 45: “Gynecological Examination of the Adolescent and Young Adult
• Chapter 47: “Dysmenorrhea and Premenstrual Disorders
• Chapter 49: “Amenorrhea, PCOS and Hirsutism
• Chapter 54: “Men’s Health”

Web Resources

U.S. Department of Health and Human Services. ePSS Electronic Preventive Services Selector (AHRQ ePSS App) . Retrieved from https://epss.ahrq.gov/PDA/index.jsp

Epocrates Mobile App . Retrieved from

Last Updated on June 13, 2024