Rhinitis

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 40-year-old woman is complaining of itching, redness, and watery discharge in both her eyes. She feels like she has sand in her eyes. She also starting sneezing and has a clear nasal discharge. She thinks the symptoms started after petting a cat 2 days before at a friend’s house. She stated this reaction never happened before around animals, but she does get hay fever a few times a year. She has a past medical history of eczema. The physical examination reveals alert woman in no acute distress. Her ears, nose, throat, and lungs are WNL. There is evidence of bilateral stringy “ropelike” discharge and conjunctival erythema. 

Provide responses to the items below. 

  •  
    • Most likely cause including pathogen –
    • Mode of transmission –
    • Discuss data that supports your decision –
    • Treatment strategies 

Review 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 1

A 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. 

  1. Determine whether the disorder causes a conductive, sensorineural, or combination of both types of hearing loss.
  2. Explain the part of the ear that is affected and describe the disorder.