Reference no: EM133597941
Case Study 1:
Ms. Saunders, a 42 year old female presented to her primary care physician (PCP) complaining of fullness, partial hearing loss in her right ear, daily episodes of vertigo accompanied by n/v that make her cautious about sudden movements, fatigue and poor balance. She states she has had progressive hearing loss in the right ear over a period of 3 months. She also has ringing in that ear as well that has been bothering her. Vital signs are taken in the office and they are within normal range. Other data is collected before patient is referred to an otologist.
Which information is most important for the nurse to follow up on? Highlight or underline.
What other assessment data would the nurse anticipate the primary care physician to collect prior to an otologist referral?
What diagnostic tests would you anticipate the otologist to conduct for a more definitive diagnosis?
What is the primary problem that Ms. Saunders is most likely presenting with?
What are the underlying causes/pathophysiology of this concern?
What therapeutic measures will you anticipate based on the diagnoses?
Case Study 2
Sarah, a 72-year-old female retired CEO reports that approximately a week ago she started experiencing decreased vision in her left eye associated with a "black spot" close to the center of her vision. The spot is present with both near and far vision and does not move away. She describes her vision as slightly blurry since then. She has also noted distortion of straight lines. Her daughter who lives with her adds that she has noticed her mother is having trouble distinguishing colors, which is something new. Sarah denies any recent trauma, eye pain, redness or discharge. Peripheral vision is normal. She has not had an eye exam in 5 years.
Past Ocular History:
No prior eye surgeries. No history of eye trauma, amblyopia or strabismus.
Ocular Medications:
None
Past Medical History:
Hypertension, hypercholesterolemia, coronary artery disease following myocardial infarction which resulted in stenting 5 years prior. History of diabetes.
Surgical History:
C-sections x 2, appendectomy 15 years ago
Past Family Ocular History:
History of macular degeneration in her maternal aunt.
Social History:
Past 50 pack/year smoking history. No alcohol or drug use. Currently retired and living with her husband
Medications:
Aspirin, Plavix, Lipitor, Lisinopril, Metoprolol
Which information is most important for the nurse to follow up on? Highlight or underline.
What diagnostic tests would the nurse anticipate the optometrist to conduct for a definite diagnosis?
What is the problem that Sarah is likely presenting with?
What therapeutic measures will the nurse anticipate based on the diagnoses/problem?