Diagnosis and Management of Eye, Ear, Nose, and Throat Disorders

1).write an explanation of the differential diagnosis for the patient in the case study
2). Explain which is the most likely diagnosis for the patient and why.
3) Include an explanation of unique characteristics of the disorder you identified as the primary
diagnosis.
4). explain a treatment and management plan for the patient, including appropriate dosages for
any recommended treatments.
5).Finally, explain strategies for educating parents on their child’s disorder and reducing any
concerns/fears presented in the case study.

DIAGNOSIS AND MANAGEMENT OF EENT DISORDERS

Diagnosis and Management of Eye, Ear, Nose, and Throat Disorders

Introduction

According to sources, AOM is a disorder that results from the malfunctions experienced
in the Eustachian tube that results from colds, allergies, and bacterial infections. This can lead to
the blockage of the inner linings with mucus. Out of this blockage, fluids build up and pile
within the air-filled middle ear (Burns, Dunn, Brady, Starr, & Blosser, 2013). Germs and bacteria
that enter these tubes breed in the fluids that are trapped in the ear thus leading to an ear infection
known as the acute otitis media.
Acute Otitis Media (AOM) is a regular disease that involves the inflammation of the
canals of the ear as a result of bacterial infections and pathogens that infect the ear. Some of the
symptom present in this disease includes ear pains, decreased sleep, mild coughs, runny nose and
congestion with an ear membrane that is red (Burns, et.al). This paper, therefore, seeks to study a
patient presenting similar symptoms to AOM.
Case Analysis

The results of the diagnosis revealed that the child encountered some clinical signs and
symptoms that included running nose and congestions that were accompanied by mild coughs. A
high temperature of 100.7°F was also evident with other symptoms such as mild nasal
congestion, and reddish appearance of the ear (Chow et.al).
The patient’s ear was in a neutral position and opaque with some sported pus. An
infection was considered to be the main cause of the non-server unilateral AOM in the child. The
diagnosis of this illness was found to be unilateral and non-severe because of the symptoms that

DIAGNOSIS AND MANAGEMENT OF EENT DISORDERS
were present in the child that required the use of antibiotics in the treatment. Severe cases of
AOM would result in different symptoms.
The unique elements that could e noted in the child’s situation include the challenges she
began encountering in feeding (Chow, et.al). The manifestation of ear tugging and lack of sleep
are also factors that were unique in this child’s ailment. It is additionally necessary to remark that
the child’s right tympanic ear membranes showed some redness in color with no fluids was also
a unique factor that needed attention.

The Treatment and Management Plan of AOM

The management plan of the patient requires that, first of all, the child is relieved from
pain. This requires that the child is prescribed antibiotics such as Amoxicillin for 30days. In an
instance where the child is allergic to amoxicillin, she can be induced on an antibiotic with
additional β-lactamase coverage (Shulman, Bisno, Clegg, Gerber, Kaplan, Lee, Martin, & Van,
2012). Amoxicillin, therefore, remains the best antibiotic for the child as recommended by a
physician and according to an updated schedule. The child should also be introduced to an
annual influenza conjugate vaccine. Breastfeeding should be exclusively encouraged

Educating Parents on Their Child’s Disorder

It is noteworthy that parents support their children to wash their hands with the aim of
preventing flu and colds, a primary cause of otitis media (Dains, Baumann, & Scheibel.2012).
The parents also have a role to play in ensuring that their children are not exposed to tobacco
smoke and frequently attend day care for inspections. Parents should also be well informed of the

DIAGNOSIS AND MANAGEMENT OF EENT DISORDERS
use of the pacifiers and lastly giving the child and immunization to protect her from contracting
AOM.

Conclusion

AOM is a disease that results from the malfunctions that are in most times experienced in
the Eustachian tube from a cold, allergy, and a bacterial infection. In managing this ailment, a
plan of the patient requires that, first of all, the child is relieved from pain. The use of amoxicillin
remains the most efficient approach to managing this sickness in its mild state.

DIAGNOSIS AND MANAGEMENT OF EENT DISORDERS

References

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary
care (5th ed.). Philadelphia, PA: Elsevier. Chapter 29, “Ear Disorders” (pp. 652–668) 
Chow, A.W., Benninger, M.S., Brook, I., Brozek, J.L., Goldstein, E.J.C., Hicks, L.A., Pankey,
G.A., Seleznick, M., Volturo, G., Wald, E.R., & File Jr, T.M. (2012). IDSA clinical
practice guideline for acute bacterial rhinosinusitis in children and adults. Clinical
Infectious Diseases, 54(8), 72-112. Retrieved from a Collage Library databases. 
Dains, J., Baumann, L., & P.Scheibel. (2012). Advanced health assessment and clinical
diagnosis in primary care . St. Louis: MO: Mosby, Elsevier.
Shulman, S.T, Bisno, A.L., Clegg, H.W., Gerber, M.A., Kaplan, E.L., Lee, G., Martin, J.M., &
Van Beneden, C. (2012). Infectious Diseases Society of America.58 (10), 86-102.
Retrieved from a Collage Library database.

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