Instructions: Tympanic Membrane And Thyroid Gland Using The ✓ Solved

Instructionstympanic Membrane And Thyroid Glandusing The Classroom Res

research the tympanic membrane and the thyroid gland using the classroom resources or South University Online Library. In a Microsoft Word document of 4-5 pages formatted in APA style, address each of the following criteria. Two focused health assessment histories: One assessment related to the tympanic membrane and the other focused on the thyroid gland. The assessments can be hypothetical patients or patients you have had in the past (remember HIPAA if you are describing a previous patient). A description of the normal and abnormal findings of the tympanic membrane.

Information on how to examine the thyroid gland using both the anterior and posterior methods. A concise note in the subjective, objective, assessment (be sure to include the NANDA diagnosis as well as the medical diagnosis), and plan (SOAP) format with each patient's encountered findings. For a review of SOAP notes: SOAP Documentation. Explain the laboratory/diagnostic tests used for screening clients with tympanic membrane or thyroid gland issues, including the expected normal results for each test. The title and references pages should not be included in the total page count. Use APA formatting throughout.

Sample Paper For Above instruction

Introduction

The tympanic membrane and thyroid gland are crucial components of the auditory and endocrine systems, respectively. Proper assessment of these structures is essential for diagnosing various conditions, including infections, abnormalities, and systemic diseases. This paper provides comprehensive assessment methods, normal and abnormal findings, diagnostic tests, and case studies in SOAP format, focusing on hypothetical patients.

Assessment of the Tympanic Membrane

Health History

Patient A: A 35-year-old male presenting with ear pain, decreased hearing, and a sensation of fullness in the right ear. The patient reports recent upper respiratory infection symptoms, including sore throat and congestion. No history of trauma or previous ear problems.

Patient B: A 45-year-old female with a complaint of ringing in the ears (tinnitus) and intermittent dizziness. She reports no recent infections but notes exposure to loud noises at her workplace.

Normal and Abnormal Findings

Normal Findings
  • Translucent, pearly gray color
  • Concave shape with a slight cone of light in the anterior inferior quadrant
  • Mobility upon pneumatic otoscopy
Abnormal Findings
  • Red, bulging membrane indicating otitis media
  • Thickened or retracted membrane suggestive of serous otitis media
  • Perforation with visible or absent membrane

Examination Techniques for the Thyroid Gland

The thyroid gland can be examined through both anterior and posterior approaches. The patient should be seated with neck slightly extended. Examination involves palpation to assess size, shape, consistency, and tenderness.

Anterior Method

During the anterior approach, stand in front of the patient, observe for symmetry, and gently palpate the thyroid lobes while the patient swallows to assess movement. The thumb is placed below the cricoid cartilage, and fingers are used to palpate the lateral lobes.

Posterior Method

Stand behind the patient, place your hands around the neck, and gently palpate the thyroid lobes as the patient swallows. This method provides better access to assess asymmetric enlargements or nodules.

SOAP Notes for Case Studies

Patient A - Tympanic Membrane

Subjective

Patient reports ear pain started two days ago, worse with movement, and decreased hearing in the right ear.

Objective

Otoscopy reveals a red, bulging tympanic membrane measuring approximately 1 cm in diameter with limited mobility.

Assessment

Diagnosis: Acute otitis media (medical), Otitis media (NANDA)

Plan

Prescribe amoxicillin 500 mg three times daily for 10 days. Advise warm compresses and analgesics. Follow-up in one week.

Patient B - Thyroid Gland

Subjective

Patient reports fatigue, weight gain, and feeling cold. No neck pain or difficulty swallowing.

Objective

P noted slight enlargement of the thyroid lobes bilaterally; no nodules palpable. No tenderness on palpation.

Assessment

Diagnosis: Hypothyroidism (medical), NANDA: Deficient Knowledge related to thyroid condition.

Plan

Order TSH and free T4 tests. Initiate levothyroxine therapy based on results. Educate patient about medication adherence and symptom monitoring.

Laboratory and Diagnostic Tests

For the tympanic membrane assessment, pneumatic otoscopy is essential for evaluating mobility, with normal findings showing good movement. Tympanometry measures middle ear function; normal results indicate compliance within the expected range (Dijk et al., 2016).

Thyroid function tests include serum TSH, free T4, and T3. Normal ranges are TSH: 0.4–4.0 mIU/L, free T4: 0.8–1.8 ng/dL. Thyroid ultrasound is also used for evaluating nodules or enlargement, with normal thyroid tissue appearing homogenous and free of nodules (Gharib et al., 2011).

Conclusion

Comprehensive assessment of the tympanic membrane and thyroid gland is vital in clinical practice. Utilizing appropriate history-taking, examination techniques, diagnostic testing, and SOAP documentation ensures accurate diagnosis and effective management of related disorders.

References

  • Dijk, F. J., Boezen, H. M., & Postma, D. S. (2016). Otoscopy and tympanometry findings: Normative data and clinical implications. Journal of Otolaryngology, 45(4), 235–240.
  • Gharib, H., Papini, E., Paschke, R., et al. (2011). American Association of Clinical Endocrinologists and the American College of Endocrinology guideline for the diagnosis and management of thyroid nodules. Endocrine Practice, 17(Suppl 1), 1–15.
  • Smith, M. C., & Schmitt, E. (2020). Examination techniques for the thyroid gland. In Clinical Examination Skills (pp. 124-130). Elsevier.
  • Chung, J. H., & Kim, M. H. (2018). Otoscopic assessment of the tympanic membrane. Journal of Audiology & Otology, 22(3), 161–165.
  • Kumar, A., & Clark, M. (2017). Clinical Medicine (9th ed.). Saunders.
  • Lehmann, P., & Hohmann, D. (2019). Diagnostic Evaluation of Thyroid Disorders. Clinics in Laboratory Medicine, 39(2), 283–297.
  • Yin, C., et al. (2022). Advancements in Imaging for Thyroid Nodule Evaluation. Endocrinology and Metabolism Clinics, 51(3), 519–533.
  • Hohmann, D., & Lehmann, P. (2019). Laboratory Tests in Thyroid Disease. In Endocrine Diagnosis (pp. 89-102). Springer.
  • Osterhagen, L., & Wormald, P. J. (2015). Otoscopy and pneumatic otoscopy: A guide for clinicians. Otolaryngologic Clinics, 48(3), 389–406.
  • Sharma, K., & Tandon, M. (2018). Thyroid Ultrasonography. India Journal of Endocrinology and Metabolism, 22(2), 164–169.

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