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Allergy: Patient History
Donna’s symptoms suggest allergy rhinitis and a possible an allergic contact dermatitis. Donna complains of tenderness over maxillary sinuses and nares which are in conjunction with red, and with boggy moist mucosa and one-medium sized polyp on each side. All these symptoms suggest rhinitis, and an inflammation of the mucous membranes taking place in the nose (McCance & Heuther, 2014).
Other effects of allergens include the reddened clear and slightly swollen eyes with tearing that Donna presents with. Taking into consideration that Donna’s flaking erythematous rash is noted only on the flexor surfaces her arms, is it likely to be caused by direct contact with an allergen. A postponed sort IV extreme touchiness response Allergic contact dermatitis is and is appears localized, as opposed to widespread like atopic dermatitis (McCance & Heuther, 2014).
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Questions pertaining to both personal and family history include:
- Any history of pet, seasonal, or environmental allergies?
- Any history of respiratory issues?
- Any history of asthma or asthmatic bronchitis?
- Do these symptoms present around the same time each year?
- Have you noticed an irritant that causes these symptoms to flare up?
Evidence suggesting that Donna doesn’t have an acute severe infection
Donna’s vital signs within normal limits, which shows hemodynamic stability; her lungs are clear to auscultation; and her postnasal drainage is clear. The presence of this evidence is not suggestive of an acute severe infection.
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Type of hypersensitivity reaction involved in Donna due to her allergic Rhinitis
As described in McCance and Huether (2014, p.56), allergic rhinitis is caused by inhalants such as dust, pollen, and mold. This is classified as a Type I hypersensitivity reaction. The most common allergies are type I reactions, which happen as a response to an exposure to an environmental antigen (McCance & Huether, 2014).
Reference
McCance, K., & Huether, S. (2014). Pathophysiology: The Biologic Basis for Disease in Adults and Children, 7th Edition
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