Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.
is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous
Gacy's exploited people in 1977. Futhermore, after looking at Gacy's vehicle, agents found a little group of strands taking after human hair, which were sent to the labs for additional examination. That equivalent night, search hounds were utilized to identify any hint of Piest in Gacy's vehicle, and one of the canines showed that Piest had, indeed, been available in the vehicle. On December 20, 1977, under the pressure of steady police reconnaissance and examination, Gacy admits to more than 30 homicides and illuminates his legal advisor and companion where the bodies were covered, both in the slither space and the waterway. 26 exploited people were found in the slither space and 4 in the stream. Gacy is captured, indicted for 33 killings, and condemned to death by deadly infusion. He endeavored a craziness supplication however was denied, and was executed on May 10, 1994. There were a few legal pointers that examiners used to attach Gacy to the killings. A portion of these include fiber examination, dental and radiology records, utilizing the deterioration procedure of the human body, and facial remaking in distinguishing the people in question. Agents discovered filaments that looked like human hair in both Gacy's vehicle and close to the creep space where the bodies were covered. Notwithstanding these hair tests, agents additionally discovered filaments that contained hints of Gacy's blood and semen in a similar zone. Blood having a place with the unfortunate casualties was found on a portion of the filaments, which would later straightforwardly attach Gacy to the wrongdoings. The strands in Gacy's vehicle were broke down by legal researchers and coordinated Piest's hair tests. Besides, the inquiry hounds that verified that Piest had been in Gacy's vehicle showed this by a "demise response", which told examiners that Piest's dead body had been within Gacy's vehicle. Out of Gacy's 33 known exploited people, just 25 were ever indisputably recognized. A considerable lot of Gacy's unfortunate casualties had comparable physical portrayals and were in this manner difficult to recognize by absolutely asking th>GET ANSWER