Assignment 1: Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat
Assignments for This Week: Week 5
There are two assignments this week:
Assignment 1: Case Study Assignments. This assignment you will be doing in SOAP format.
Case Study
is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal 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 fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past 2 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
Remember—this is just a portion of the SOAP note. You will be creating the remainder of the information.
Assignment #2 is DCE in Shadow Health. This week is a focused exam on “coughâ€. You will load the documentation and the Lab pass.