Week 10 Case Study.

Directions

Students should complete one (1) case (your choosing) from Part 1. All students should complete one (1) case (your choosing) from Part 2. Note: All case studies are provided as a learning tool for students who wish to have them. 

Part 1: Choose 1

Review the various conjunctivitis cases and determine the most likely cause, including pathogen and mode of transmission. Discuss data that supports your decision and treatment strategies. 

Case 1

A 5-year-old girl has had a cough and runny nose (yellowish discharge) for the past 3 days. Her mother brought her for an evaluation as her left eye became pink and the right eye is also starting to get pink. Her daughter keeps rubbing them. The mother says there was a little discharge that was like mucus, but she wiped it away before coming to get checked. The physical examination reveals an active, alert girl. Her ears and lungs are within normal limits (WNL). Yellowish discharge is noted from the nose, and her oropharynx is mildly erythematous; however, there is no tonsillar enlargement or exudate. Her eyes have conjunctival erythema and mild edema—the left eye greater than the right eye. Mild crusting at the lid but no discharge is noted. 

Provide responses to the items below. 

Most likely cause including pathogen –  

Mode of transmission –  

Discuss data that supports your decision –  

Treatment strategies.

Part 2

: Choose 1Review the various hearing disorder cases and determine whether the disorder causes a conductive, sensorineural, or combination of both types of hearing loss. Once you identify the type of hearing loss, explain the part of the ear that is affected and describe the disorder.

Case 1A 45-year-old woman noticed that she feels like her left ear is full and she cannot hear as well from her left ear as from her right. She states these symptoms started after she was cleaning the inside of her ears with a cotton-tip applicator. Physical exam reveals a right ear that is WNL. Her left ear canal has dark cerumen occluding her ear canal. Provide responses to the items below. 

Determine whether the disorder causes a conductive, sensorineural, or combination of both types of hearing loss.  

• Explain the part of the ear that is affected and describe the disorder.