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¶ … fever and palpable cervical nodes indicates an infection. Jennifer appears to have bacterial tonsillitis. However, in order to confirm, a throat culture must be taken. Although mononucleosis is uncommon in toddlers, it is a possible diagnosis and typically comes from contact in daycares (Yokoyama et al., 2013). To confirm the mononucleosis diagnosis, serology is needed. While the clinical manifestation points to possible mononucleosis diagnosis, younger children do not have as pronounced symptoms.
Bacterial or viral infections as well as other immunologic factors lead to development of tonsillitis. The majority of acute tonsillitis may be caused by viruses such as Herpes simplex virus (Babakurban, Erbek, Terzi, Arslan, & Sahin, 2014). Although because the symptoms are so pronounced, it could be caused by mononucleosis. This making the origins bacterial.
A possible treatment option is Augmentin. It is a broad spectrum penicillin antibiotic that has a combination of clauvulanate potassium and amoxicillin. However, another treatment option is penicillin V. Should Jennifer not respond to penicillin V, Augmentin will be the next course of treatment.
Jack seems to have hand eczema. The most common form is what is called Irritant Contact Dermatitis. By exposing his hands repeatedly to solvents, coolants, and other kinds of chemicals, he inhibited the repair of the skin barrier. Eventually this led to dry, red, flaky skin. His wife suggests allergies though allergies have other symptoms and may...
Jack does not show these signs.
There is often no identifiable intrinsic cause to hand eczema (Schindler, Drozdenko, Kuhl, & Worm, 2014). There is no known underlying pathology. Because there is little information on potential causes, the most common mode of treatment is reduction of exposure to any solvents or chemicals that could have generated the rash.
His ear infections have little to do with what caused the itchy redness. To treat the condition, medicated ointments would be the first line of treatment (Soost, Abdollahnia, Kostev, & Worm, 2012). If the skin continues to remain dry it could lead to infection and thus antibiotics may be used. Whatever caused the rash, whether it was allergies or prolonged exposure, Jack needs to wear gloves to avoid having the rash occur again. Protective gear remains an essential part of working with chemicals.
Martha has hypertension and a changes in her appetite and sleep. With her mother in her mind, she has experienced additional anxiety and stress.…
References
Babakurban, S., Erbek, S., Terzi, Y., Arslan, F., & Sahin, F. (2014). Fractalkine receptor polymorphism and chronic tonsillitis. Eur Arch Otorhinolaryngol, 271(7), 2045-2048. http://dx.doi.org/10.1007/s00405-014-2908-7
HASLER, G. (2010). PATHOPHYSIOLOGY OF DEPRESSION: DO WE HAVE ANY SOLID EVIDENCEOF INTEREST TO CLINICIANS?. World Psychiatry, 9(3), 155. http://dx.doi.org/10.1002/%28ISSN%292051-5545
Schindler, M., Drozdenko, G., Kuhl, A., & Worm, M. (2014). Immunomodulation in Patients with Chronic Hand Eczema Treated with Oral Alitretinoin. Int Arch Allergy Immunol, 165(1), 18-26. http://dx.doi.org/10.1159/000365659
Soost, S., Abdollahnia, M., Kostev, K., & Worm, M. (2012). Topical therapy of hand eczema - analysis of the prescription profile from dermatologists in private practice. JDDG: Journal Der Deutschen Dermatologischen Gesellschaft, 10(3), 180-184. http://dx.doi.org/10.1111/j.1610-0387.2011.07787.x
Yokoyama, T., Tokuhisa, Y., Toga, A., Fujiki, T., Sakakibara, Y., & Mase, S. et al. (2013). Agranulocytosis after infectious mononucleosis. Journal Of Clinical Virology, 56(3), 355-357. http://dx.doi.org/10.1016/j.jcv.2012.11.016
At present, the symptoms presented by the student are consistent with infectious mononucleosis (IM) caused by Epstein-Barr virus (EBV). This includes symptoms that appear to mimic those of the flu. In addition to a sore throat, the patient complains of aching joints and fatigue. It should be noted that an elevated temperature and swollen lymph nodes were revealed following an initial examination by the FNP. The lab results were, however,
Childhood Depression Major depressive disorder, or MDD, may affect up to twenty percent of the adult population. The recognition of depression as a serious and common mental disorder has been vital in the identification and treatment of depression in adults. Leaps and bounds have been made in the field of depression research. The widespread recognition of the many possible causes of depression, including chemical imbalances with genetic or medical origins as
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