Richard is a 50 year old male with nasal congestion, sneezing, rhinorrhea, and p

Question

Richard is a 50 year old male with nasal congestion, sneezing, rhinorrhea, and post nasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. as you check his ears and throat for redness and inflammation, you notice him touch his finger to the bridge of his nose to press and rub there. He says he's taken Mucinex OTC the past two nights to help him breathe while he sleeps. when you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.

Explanation / Answer

We will first conduct the tests

blood count test will give rise in igE will indicate involvement of immune system.

skin test will determine the type of allergen.

nasal endoscopy will to test nasal passage and sinuses problems

X-ray gives the image sinuses in more details

Then by conducting above tests and diagonosis some possibilities can be determined

rhinitis can be possible which is nasal mucosa is subjected to immflamaion and shows symptoms of congestion, rhinorrhea, itching of nose, sneezing etc.

Hay fever is also possible itb shows symptoms like cold.

sinusitis is determined by sinus pressure behind eyes, the cheeks,runny nose also swelling around forehead.

Related Questions

Navigate

• Browse (All)
• Browse R
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.