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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?

Rubric Title:

MSN 10 point Discussion Rubric
Criteria 1Level III Max PointsPoints: 4Level II Max PointsPoints: 3Level I Max PointsPoints: 2Not Present0 Points
Identification(20%)· Thorough identification of the importance of the subject matter to the individual, clinical, and professional.· Supports discussion concepts through personal experience and evidence-based information.· Submits a minimum of three posts, one initial and two responses to either the course faculty or peers, with thorough reflection and content.· Reflection of subject to self, clinical, and professional importance with minimal integration of evidence-based information.· Submits two or more posts with some reflection and content.· Minimal reflection without reference to personal, clinical, or profession.· Submits one or more posts that have minimal reflection or content.No Posts
Criteria 2Level III Max PointsPoints: 3Level II Max PointsPoints: 2Level I Max PointsPoints: 1Not Present0 Points
Reflection/Participation/Knowledge(60%)· Provides a well-written reflection that is clearly connected to the outcomes and clinical insight.· Responds to at least two other student postings with a response that advances the discussion.· Clear critical thinking acknowledges application, analysis, synthesis, and evaluation.· Replies move the conversation forward. Makes a reply to a question asked in response to their own posting.· Builds a focused argument.· Asks new or related questions.· Makes an oppositional or congruent statement that is supported by experience or research.· Provides a well-written reflection and there is a clear connection to outcomes, but lacks clinical insight.· Replies partially move the conversation forward. Makes a reply to question asked in response to their own posting.· Some clear critical thinking acknowledges application, analysis, synthesis, and evaluation.· Affirms statements or references to relevant research.· Asks similar or related questions within the context of the conversation.· Provides short reflection and there is a slight connection to outcomes.· Student does not move the conversation forward within their own post or in their response to peer/faculty.· Minimal critical thinking that acknowledges application, analysis, synthesis, and evaluation.· Does not affirm or oppose statements in conversation.· Does not pose or ask related question in the context of DB conversation.No Posts
Criteria 3Level III Max PointsPoints: 3Level II Max PointsPoints: 2Level I Max PointsPoints: 1Not Present0 Points
Format/Style/APA/ Citations(20%)· No grammar, word usage, or punctuation errors. Overall style is consistent with professional work.· Writing style facilitates communication.· Provides three references that are relevant to the content and published within the last five years.· Fewer than three grammatical errors.· Provides less than three references that are relevant to the content and published within the last five years.· Writing style facilitates some communication.· More than three grammatical errors.· Provides less than three references that are relevant to the content and published within the last five years.· Writing style does not facilitate communication.No Posts
Maximum Total Points10740
Minimum Total Points8 points minimum5 points minimum1 point minimum0

Updated 9/4/2020