Below is the scenario I’m having trouble answering. I am having trouble identifying three possible diagnosis for this patient. I believe the flu and

Question Answered step-by-step Below is the scenario I’m having trouble answering. I am having troubleidentifying three possible diagnosis for this patient. I believe the flu and nasopharyngitis are likely two but I’m not sure what a third would be?Ellen is a 23-year-old school teacher who presents with fever. The fever started 10 days ago. She states the fever comes and goes, and last for 30- 60 minutes. She has been taking Tylenol and it gets better, but then it returns after 4 hours. She has a 100.4 fever when measured; her highest has been 101.5 F. She denies any sick contacts. She has lost her appetite and has been trying to drink more fluids to avoid dehydration. She has lost 10 pounds. She has a throbbing headache that seems to linger after the fever goes down and some neck soreness. She denies changes in her hearing and vision, but her ears hurt. She has a sore throat and increased drainage out of her nose as well as nasal congestion. She has pain in her face and teeth. She has a cough but denies any sputum production. She has no chest pain or palpations. She has no abdominal pain, diarrhea, dysuria, pelvic pain, or vaginal discharge. She has no swelling in her legs. She has soreness in the muscles all over her body, and even her scalp hurts. She has pain in her wrists, shoulders, hips, knees, and ankles. She had chicken pox at 5 but was otherwise healthy. Her vaccines are up to date. She has never been pregnant. She is sexually active and has had six lifetime partners. She takes a multivitamin and birth control pills. She lives alone. She smokes occasionally, drinks alcohol socially, and denies illicit drugs. Her parents are healthy and fraternal grandparents have HTN.DB/Assignment (1)Using the information from the scenerio above and the actual findings below, What are 3 differential diagnosis? Include why you chose each diagnosis based on the information and identify the most likely diagnosis (by listing the most likely first).Actual Findings:Constitutional: Patient an alert, young woman, sitting comfortably on the examination tableVital Signs: BP 100/76, HR 110 and regular, RR 14 breaths/min, Temperature 100.9Skin: No rashHEENT: Normocephalic, atraumatic; Sclera white, conjunctivae clear, pupils constrict from 4mm to 2mm and are equal, round, and reactive to light and accommodation; fundi with sharp discs; External ear canals pink, tympanic membranes dull with retraction bilaterally; Nose patent with edematous erythematous turbinates; Faces tender to palpation in the maxillary sinuses, worse on the left than on the right; Oropharynx moist with erythema in the posterior pharyngeal wall, no exudates; Neck supple with tender, enlarged (1-2cm) anterior cervical lymph nodes, neck with full range of motion (ROM)Cardiovascular: Good S1, S2; no S3, S4; murmurs or extra soundsLungs: Breath sounds vesicular; no wheezes, rales, or rhonchiAbdomen: Bowel sound active; soft, nontender to palpation; nondistendedMusculoskeletal: Full ROM; no swelling or deformity; muscles with normal bulk and tone Health Science Science Nursing NURS 7101 Share QuestionEmailCopy link Comments (0)

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