Discussion: Assessing the Ears, Nose, and Throat
As Motomura et al. (2016) point out, “pale nasal mucosa is a typical clinical finding in subjects with severe allergic rhinitis” (p. 220). In the case of Richard, the 50 year old male who has presented with nasal congestion, sneezing, rhinorrhea, and postnasal drainage—in other words, an itchy nose, eyes, palate and ears which have bothered him for 5 days—the symptoms that Richard is exhibiting are very likely the effect of severe allergic rhinitis or what is commonly known as hay fever.
As hay fever routinely occurs in the summer and spring months when pollen and mold are in the air and can be highly concentrated in areas depending on geography and weather, it is important to take note of external factors—the environment—that might be impacting Richard over the past week. A history of his outdoor activities, where he lives, whether he has been exposed to pollen or mold, to which his body could be having an exaggerated reaction should all be information that the nurse obtains over the course of questioning.
Quillen and Feller (2006) state that “allergic rhinitis, the most common type of rhinitis, generally can be differentiated from the numerous types of nonallergic rhinitis through a thorough history and physical...
References
Meltzer E., et al. (2004). Rhinosinusitis: establishing definitions for clinical research and
patient care. J Allergy Clin Immunol, 114, 155-212.
Motomura, C., Odajima, H., Yamada, A., Taba, N., Murakami, Y., & Nishima, S. (2016).
Pale nasal mucosa affects airflow limitations in upper and lower airways in asthmatic children. Asia Pacific Allergy, 6(4), 220-225.
Quillen, D. & Feller, D. (2006). Diagnosing Rhinitis: Allergic vs. nonallergic.
American Family Physician, 73(9), 1583-1590.
Still another option is immunotherapy. In 2000, the Immunotherapy Committee of the American Academy of Allergy, Asthma, and Immunology compared the costs of medication and the single-injection allergen immunotherapy for allergic rhinitis. It found that the cost of medications is much greater. Allergen immunotherapy is generally safe and adverse reactions to are rare (Huggins 2004). Opinion. - Human civilizations have tried to master nature and even modify it to a point
Allergies, Parasites and the Hygiene Hypothesis The objective of this study is to explain the relationship between allergies emergence due to parasites based on the hygiene hypothesis and the current information stating how valid this hypothesis is. Towards this end, this study will conduct a brief but intensive review of literature in this area of inquiry. The work of Liu and Leung (2006) report that the hygiene hypothesis has a long
Guardian.co.uk/society/2010/oct/20/allergies-month=conception-week-11 Fletcher, V. (2006). How your birthday can cause allergies. UK News: Northern and Shell Media Publications. Retrieved on June 5, 2011 from http://www.express.co.uk/posts/view/206427/How-your-birthday-can-cause-allergies Jedrychowski W. et al. (2003). Prenatal lead exposure heightens childhood allergies. Environmental Health News: Environmental Health Sciences. Retrieved on June 5, 2011 from http://www.environmentalhealthnews.org/ehs/newscience.prenatal.lead-exposure-heightens-dhildhood-allergies Schonberger et al. (2005). Prenatal exposure to mite and pet allergens and total serum IgE at birth in high-risk children. Pediatric Allergy & Immunology: PubMed. Retrieved on June 5,
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