Diagnosing Allergic Rhinitis
The presented discussion was great. It used the case study of a fifty years old patient with complains of nasal congestion, sneezing, rhinorrhea, and postnasal drainage. He also reports having itchy nose, eyes, palate, and ears that has lasted for five days. The discussion presented his assessment data, lab work as well as possible diagnosis.
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The corrected diagnosis was identified as allergic rhinitis with the differential diagnosis being acute sinusitis, chronic sinusitis, and viral rhinosinusitis. All these conditions are likely to be present. Proper patient assessment, as well as health history, is important in determining the real diagnosis. Sinusitis occurs due to different etiologies that result in the inflammation of the sinus. Pain and tenderness on palpitation of the frontal and maxillary sinus indicate a sinus infection.
To ascertain the main diagnosis of allergic rhinitis, lab tests have to be done on blood samples to determine the presence and levels of IgE antibodies (Dains, Baumann, & Scheibel, 2016). Also, the presence of eosinophils on nasal smear indicates an allergy. To differentiate, viral from bacterial infection, culture, and sensitivity testing had to be done. Unlike bacterial infections, viral infections clear out on their own after sometime and do not necessarily need treatment.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis