Please respond to following : discuss any difference in diagnosis and response with ref , apa format
My diagnosis would be the common cold or rhinitis. The most common etiology of Acute Respiratory Syndrome is a viral infection associated with the common cold (Patel & Hwang,2021). Trying to distinguish between acute viral symptoms vs bacterial symptoms can be challenging to the provider. Treatment for acute viral rhinosinusitis focuses on symptomatic management as it typically resolves within 7 to 10 days (Patel & Hwang,2021). This healthy 35-year-old female has had symptoms for two days which include congestion and runny nose. Her treatment would be prescribed as Tylenol 650mg PO every 4-6 hours PRN for headache or ibuprofen 600mg po every 6 hours for headache, Pseudoephedrine 60mg po every 4-6 hours as needed for nasal congestion, do not exceed 240 mg in 24 hours (Lexicomp,2021). She may also find relief using a sterile Saline irrigation to both nostrils as needed for congestion. Home remedies which can help discomfort are a humidifier at night, po fluids, rest, and healthy diet with plenty of fruits and vegetables. Vitamin C and herbal products like echinacea, are advertised to treat or prevent the common cold, none of these treatments are likely to cause harm, and have not proven to be helpful, but may be beneficial to try (Sexton & McClain,2021). This patient should be managed with supportive care. There are no treatments to shorten the clinical course of the disease (Patel & Hwang,2021). Bacterial infection occurs in only 0.5 to 2 percent of episodes of acute respiratory symptoms (Patel & Hwang,2021).
I would respond to this patient by providing education to her. I would show concern, empathy and use therapeutic communication by stating, “I understand having a headache and stuffy nose can be very uncomfortable and you have an exciting occasion coming up. Your symptoms of runny nose and headache have been ongoing for two days and you have not had a fever. These symptoms can be uncomfortable and bothersome, but it is still early on regarding the course of infection. Cold symptoms can take as long as 7 or 10 days to recover, you have a virus. Your exam does not show me that you are having any complications from this virus like a sinus infection. The best form of treatment for a quicker recovery is for you to to get plenty of rest, drink fluids, and take Tylenol or Ibuprofen for your headache. You may also take a decongestant called Sudafed, it is over the counter, this should provide some comfort to you so that you can breathe easier through your nose and to release some of that congestion in your head. Right now, your body is fighting a common cold. I understand you have a history of sinus infections, but it is important to try to take good care of yourself to prevent this virus infection to turn into a bacterial sinus infection. Antibiotics do not help any virus and will not help your symptoms, in fact, antibiotics may make you worse. Sinusitis starts as viral and can turn into bacteria, but this does not happen as early as two days, it may take 10 days or more (Patel & Hwant,2021). Antibiotics cause undesirable side effects like nausea, vomiting, and diarrhea, and as a young woman you could get a secondary infection such as a yeast infection as a side effect. Overuse of antibiotics causes resistance to antibiotics and perhaps in the future when you have a bacterial infection and need an antibiotic it may not help you when you need it the most. If your symptoms do not get better in ten days or if you develop a fever or shortness of breath, please call me, or return to my office for follow up care.