analysis the tympanic membrane and the thyroid gland. Primarily based in your findings, create a 5- to 6-page Microsoft Phrase doc that features:
The tympanic membrane, also referred to as the eardrum, is a skinny, cone-shaped membrane that separates the exterior ear canal from the center ear. It is a vital construction within the means of listening to, because it vibrates in response to sound waves and transmits these vibrations to the ossicles within the center ear. A well being evaluation historical past associated to the tympanic membrane might embrace questions on listening to loss, tinnitus (ringing within the ears), ear ache, discharge from the ear, or a historical past of ear infections. The attainable findings for the tympanic membrane might embrace indicators of an infection, reminiscent of redness, swelling, or drainage, perforation of the eardrum, or scarring from earlier infections.
The thyroid gland is an endocrine gland situated within the neck that produces hormones that regulate metabolism. Examination of the thyroid gland could also be carried out utilizing each the anterior and posterior strategies. To look at the thyroid gland utilizing the anterior technique, the clinician will ask the affected person to tilt their head again barely and swallow whereas the clinician palpates the thyroid gland. The thyroid gland ought to be symmetrical and easy. To look at the thyroid gland utilizing the posterior technique, the clinician will place their fingers on both aspect of the affected person’s trachea and ask the affected person to swallow. The thyroid gland ought to rise easily throughout swallowing.
Within the subjective part of a SOAP word associated to a affected person with a possible ear an infection, the clinician might doc the affected person’s chief criticism of ear ache or discharge, in addition to any related signs reminiscent of fever or listening to loss. Within the goal part, the clinician might doc the presence of redness, swelling, or drainage from the ear, in addition to any seen abnormalities of the tympanic membrane. Within the evaluation part, the clinician might word a suspected analysis of otitis media or otitis externa. Within the plan part, the clinician might prescribe antibiotics or advocate over-the-counter ache aid.
Within the subjective part of a SOAP word associated to a affected person with a possible thyroid dysfunction, the clinician might doc the affected person’s chief criticism of a visual or palpable mass within the neck, or signs reminiscent of fatigue or weight acquire. Within the goal part, the clinician might doc any seen or palpable abnormalities of the thyroid gland, in addition to any related signs reminiscent of tachycardia or warmth intolerance. Within the evaluation part, the clinician might word a suspected analysis of hyperthyroidism or hypothyroidism. Within the plan part, the clinician might order laboratory exams reminiscent of thyroid stimulating hormone (TSH) or free thyroxine (T4) ranges to verify the analysis.
Laboratory exams that could be used for screening purchasers for thyroid problems embrace TSH and T4 ranges. The conventional vary for TSH is 0.4-4.0 mIU/L, whereas the conventional vary for T4 is 4.5-11.2 mcg/dL. Irregular ranges of those hormones might point out a thyroid dysfunction. It is very important word that laboratory values might fluctuate barely relying on the laboratory and the tactic used for testing, so it is very important consult with the precise reference ranges supplied by the laboratory.
American Academy of Otolaryngology-Head and Neck Surgical procedure. (2017). Ear an infection (otitis media). https://www.enthealth.org/conditions/ear-infection-otitis-media/
American Thyroid Affiliation. (n.d.). Thyroid nodules. https://www.thyroid.org/thyroid-nodules/