Module 4 Discussion 
            
        
            
                Class: Nur 504 Advanced Health Assessment 
            
        
            
                Throat, Respiratory & Cardiovascular Disorders
            
        
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.
Your case number is # 2
| 
 Case 2  | 
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| 
 
                            Chief Complaint   | 
 A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose  | 
| 
 Subjective  | 
 States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the springtime, pollen season. However, in the winter, her allergies are not a problem.  | 
| 
 Objective Data  | 
|
| 
 VS  | 
 (BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air  | 
| 
 General  | 
 No signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.  | 
| 
 HEENT  | 
 Ear canals: normal;   | 
| 
 Respiratory  | 
 CTA AP&L  | 
| 
 Neck/Throat  | 
 Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no   | 
| 
 Heart  | 
 Regular rate and rhythm, no murmur, S3, or S4  | 
Based on case # 2, answer the following questions:
1.
            What other subjective data would you obtain?
        
2.
            What other objective findings would you look for?
        
3.
            What diagnostic exams do you want to order?
        
4.
            Name 3 differential diagnoses based on this patient presenting symptoms.
        
5.
            Give rationales for each differential diagnosis.