NRNP 6531 Week 4 Assignment; i-Human Case Study; Evaluating and Managing Cardiovascular Conditions
Course : Course
Submitted : Fall Session
Contributed : Conner White
- $25.00
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Primary Diagnosis and ICD-10 code:
- Pharyngitis, group A streptococcal (ICD-10 J02.0) – Pharyngitis is the infection of the oropharynx’s mucous membranes. The most common etiology for bacterial streptococcal pharyngitis is Streptococcus pyogenes, also known as group A streptococcus. Suggestive criteria for group A streptococcal pharyngitis includes a history of an abrupt onset of fever, a sore throat, exposure to someone with group A streptococcal pharyngitis within the past two weeks, and the absence of a cough (Ashurst, 2023). The patient in this case had similar symptoms that most align with this diagnosis. The patient also had a possible exposure in relation to her reporting that her roommate had a sore throat earlier in the week. The guidelines I used to formulate this diagnosis are from the Infectious Diseases Society of America (Shulman et al., 2012).
Differential Diagnoses:
- Pharyngitis, viral (ICD-10 J02.9) – Viral pharyngitis is caused by viruses such as rhinovirus, adenovirus, herpes, influenza, Epstein-Barr virus, coronavirus, parainfluenza,
coxsackievirus, and HIV (Wolford, 2023). Painful cervical adenopathy, pharyngeal erythema, fever, tonsillar exudates, and ear pain are the most common symptoms of viral pharyngitis. Given the patient’s symptoms and history of mononucleosis, which is also caused by the Epstein-Barr virus, viral pharyngitis could be a potential differential diagnosis.
- COVID-19 (SARS-CoV-2) (ICD-10 U07.1) – COVID-19 is caused by a coronavirus
named SARS-CoV-2 that can cause illnesses such as colds or lower-respiratory conditions (Hansen, 2020). Patients who contract COVID-19 present with complaints of fever, sore throat, and headaches, which are similar symptoms to what this week’s patient is experiencing. Thus, COVID-19 is a potential differential diagnosis……….. Continue
