Skin, Eye, & Ear 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 instructor will assign you your case number. Case 2 

	Case 1	Case 2	Case 3
Chief Compl aint (CC)	A 57-year-old man presents to the office with a complaint of left ear drainage since this morning.	A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks.	A 11-year-old female patient complains of red left eye and edematous eyelids. Her mother states the child complains of “sand in my left eye.”
Subje ctive	Patient stated he was having pulsating pain on left ear for about 3 days. After the ear drainage the pain has gotten a little better.	She has been going on a daily basis to the local YMCA with children for Summer camp.	Patient noticed redness three days ago. Denies having any allergies. Symptoms have gotten worse since she noticed having the problem.
Objective Data
VS	(T) 99.8°F; (RR) 14; (HR) 72; (BP) 138/90	(T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74	(T) 98.2°F; (RR) 18; (HR) 78; BP 128/82; SpO2 96% room air; weight 110 lb.
Gener al	well-developed, healthy male	healthy-appearing female in no acute distress	well-developed, healthy, 11 years old

HEEN T

EAR:
(R) external ear normal, canal without erythema or exudate, little bit of
cerumen noted, TM- pearly grey, intact with light reflex and bony landmarks
present; (L) external ear normal, canal with white exudate and crusting, no
visualization of

tympanic
membrane or bony landmarks, no light reflex EYE: bilateral anicteric
conjunctiva,

(PERRLA), EOM intact. NOSE: nares are patent with no
tissue edema. THROAT: no lesions noted, oropharynx moderately erythematous
with no postnasal drip.

EYES:
no injection, no increase in lacrimation or purulent drainage;

EARS: normal

TM: Normal

EYES: very red sclera with
dried, crusty exudates; unable to open eyes in the morning with the left
being worse than the right

Skin

No rashes

Mild edema with inflammation
located on forearms, upper arms, and chest wall, thighs and knees; primary
lesions are a macular papular rash with secondary linear excoriations on
forearms and legs.

No rashes.

Neck/ Throat

no neck swelling or tenderness with palpation; neck is
supple; no JVD; thyroid is not enlarged; trachea midline

No neck swelling or tenderness
with palpation; neck is supple; no JVD; thyroid is not enlarged; trachea
midline.

Once you received your case number, 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 your each differential diagnosis.

Submission Instructions:

• Your instructor will assign you your case number and you will post on the case number you have been assigned.

• You will reply to the other two case studies (One of each).

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)

• All replies must be constructive and use literature where possible.

Telehealth Medicine

For this assignment, answer the following questions:

• What are the Pros and Cons to telehealth?

• How will you approach and perform a telehealth assessment?

• What are the limits to telehealth?

• What is the difference between the provider’s need for a successful telehealth visit versus the Patient’s perspective?

Submission Instructions

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.

• The paper should be formatted per current APA and 2-5 pages in length, excluding the title, abstract, and references page.

• Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

• This assignment will be assessed through Turnitin.

Grading Rubric

Your assignment will be graded according to the grading rubric below.

View Rubric

Telehealth Medicine Rubric

Telehealth Medicine Rubric

Criteria

Ratings

Poi nts

Identificati

Distinguished

/20 pts

on of Main

Identify and demonstrate a sophisticated understanding of the
issues/

Issues/

problems.

20 pts

Problems

Excellent

Identifies and demonstrate an accomplished understanding of
most of

issues/problems.

18 pts

Fair

Identifies and demonstrate an an acceptable understanding of
most of

issues/problems.

16 pts

Poor

Identifies and demonstrate an unacceptable understanding of
most of

issues/problems.

8 pts

Analysis
and Evaluation of Issues/

Probelms

Distinguished

Presents an insightful, thorough analysis and evaluation of
issues/prob 20 pts

Excellent

Presents a thorough analysis and evaluation of most of
the issues/pro

lems.

blems.

18 pts

Fair

Presents a superficial or incomplete analysis and
evaluation of issues/ problems.

16 pts

Poor

Presents unacceptable analysis and evaluation of
issues/problems.

8 pts

/20 pts

Demonstr

Distinguished

/20 pts

ates a

Provides a
thorough, competent and interpretive responses to all issu

es/

Conceptu

problems, and
shows a high level of conceptual understanding.

20 pts

Understan

Excellent

ding

Provides a competent and interpretive responses to all
issues/proble

ms, and

shows a
moderate level of conceptual understanding.

18 pts

Fair

Provides a
competent responses to all issues/problems, but lacks

interpretation
and a moderate level of conceptual understanding.

16 pts

Poor

Provides an
unacceptable response to all issues/problems, and lacks

interpretation
and a moderate level of conceptual understanding.

8 pts

Use
of Citations to Course Readings and

Additional

Research/

Literature

Distinguished

Effectively
uses the literature and other resources to inform their work

Exceptional use of citations and
extended referencing. 20 pts

Excellent

Effectively
uses the literature and other resources to inform their work

Moderate use of citations and
extended referencing. 18 pts

Fair

Ineffectively
uses the literature and other resources to inform their wo

Moderate use of citations and
extended referencing. 16 pts

Poor

Ineffectively uses the literature and other resources to
inform their wo unacceptable use of citations and extended referencing. 8 pts

rk.

rk. An

/20 pts

Writing

Full Marks

/20 pts

Mechanic

Demonstrate a high level of clarity, precision, and attention
to de

tail.
APA

s and APA

style is correct and writing is free of grammar and spelling
errors.

20 pts

Formattin

Excellent

Guidelines

Demonstrate a high level of clarity. APA style and writing
mechan

ics need

more precision and attention to detail.

18 pts

Fair

Demonstrate a moderate level of clarity. APA style and writing
m

echanics

need more precision and attention to detail.

16 pts

Poor

Demonstrates issues in writing and communicating clearly. APA

style
and

writing mechanics need serious attention.

8 pts

Choose a submission type

Skin, Eye, & Ear Disorders For this Discussion, you will take on the role of a clinician who is building a health history for one