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{"id":194927,"date":"2021-12-28T14:53:51","date_gmt":"2021-12-28T14:53:51","guid":{"rendered":"https:\/\/nursingwritershelp.com\/?p=194927"},"modified":"2021-12-28T14:53:51","modified_gmt":"2021-12-28T14:53:51","slug":"alterations-in-immunity","status":"publish","type":"post","link":"https:\/\/nursingwritershelp.com\/alterations-in-immunity\/","title":{"rendered":"Alterations in Immunity"},"content":{"rendered":"<\/p>\nCase Study:<\/h3>\n
Janet, a 20 year-old college student, is experiencing a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a \u201ctickling\u201d cough, especially at night, and she has had episodes of repetitive sneezing. Janet gets frequent \u201ccolds\u201d every spring and fall.<\/p>\n
Physical Examination<\/h3>\n
Vital Signs: Temp, 98.8; BP 110\/68; Pulse 72; Respirations 18<\/p>\n
Skin: Flaking erythematous rash on the flexor surfaces of both arms<\/p>\n
Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage<\/p>\n
Lungs: Clear to auscultation and percussion<\/p>\n
Discussion Questions:
1. Provide three differential diagnoses based on Janet\u2019s subjective and objective data and discuss your reasoning for each.<\/p>\n
2. What additional history questions would be useful in your evaluation of Janet?<\/p>\n
3. Discuss the pathophysiological process of your primary diagnosis.<\/p>\n
4. Differentiate the types of hypersensitivity mechanisms.<\/p>\n
5. As per your analysis, what type of hypersensitivity reaction is Janet experiencing?<\/p><\/p>\n \n