Assessing the Head, Eyes, Ears, Nose, and Throat

Case Study

Richard is a 50-year-old male
with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard
has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you
check his ears and throat for redness and inflammation, you notice him touch
his fingers to the bridge of his nose to press and rub there. He says he's
taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When
you ask if the Mucinex has helped at all, he sneers slightly and gestures that
the improvement is only minimal. Richard is alert and oriented. He has pale,
boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates,
which obstruct airway flow but his lungs are clear. His tonsils are not
enlarged but his throat is mildly erythematous.

Sample Solution