NRNP 6568 Week 3 Assignment 2; Assessing, Diagnosing, and Treating Patients with HEENT Conditions
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Assessing, Diagnosing, and Treating Patients with HEENT Conditions
A mother brings in her 11-year-old son, Branch, because he has had a nosebleed. She is concerned about it because they have been applying pressure by pinching it and the nosebleed won’t stop. He has no history of nosebleeds. He has no significant medical history and no known allergies. He is on no medications. Mom and Branch deny trauma to the nose. He says he just woke up with a nosebleed and it won’t stop. He tells you that the left side is the side that is bleeding.
Vital signs: Blood Pressure 110/70 Pulse 84 RR 14 Temp. 97.8 oral O2 99% Patient Information: Initials: B, Age:14 years old, Sex: Male
CC: Nosebleed
HPI: A mother brings in her 11-year-old son with complaint of a nosebleed that started when he woke up and has not stopped since despite applying pressure. He has no past medical history for nosebleeds. He also has no other significant medical history. He has no known drug allergies. He is on no medications.
Current Medications: None Allergies: NKDA
PMHx: None SurgHx: Unknown
Soc Hx: 11-years-old, presumably lives with parents, vaccination history unknow per scenario presented
Fam Hx: Information unknown
ROS: (Information not provided, could change after further interviewing mother and patient)
GENERAL: Denies fever. Denies chills. Denies fatigue. Reports no weight loss. Denies night sweats.
SKIN: Denies rash. Denies itching. Denies skin changes.
CARDIOVASCULAR: Denies chest pain. Denies chest pressure/chest discomfort.
Denies palpitations. Reports no visualized edema.
RESPIRATORY: Denies being short of breath. Denies cough. No sputum production.
GASTROINTESTINAL: Denies stomach upset. Denies bowel incontinence. Reports no bloody stools. Denies diarrhea. GENITOURINARY: Reports no dysuria. Denies hematuria............... Continue
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