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Presentation/PPT
27/08/2022
Case Study
Anna Sanchez, a 21-year-old nursing student, comes to her nurse practitioner in December with a 5-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent “colds” every spring and fall.
Physical Examination
Response # 1: Carefully read the initial posts made by the other students in your small group.
Peer Initial Post
Initial Post: Answer the following questions about Anna Sanchez and her condition.
Anna’s vital signs are stable. the signs and symptoms of an acute severe infection are:
There are four (I-IV) types of hypersensitivity, these disorders are abnormal immune reactions that display various symptoms. Type I is immediate and intervened by Ige. The fourth type is a delayed reaction from direct contact. Anna appears to suffer from type I rhinitis which is an immediate hypersensitivity (Sobkowiak,et al.,2020).
Allergies are the most common embellished response against an environmental antigen. After the anna’s initial contact with the cat, anna became sensitized and her B lymphocytes created antibodies that started to bind to the outer surface of the mast cells. Contact to the allergen before enough T cells or antibodies are present bring a hypersensitive response (McCance & Huether, 2018).
Ige binds to crystalline fragments (FC) receptors on the surface of mast cells (McCance & Huether, 2018).
Hypersensitivity that is irritated by exposure to a specific antigen. When the allergen is introduced, it makes the mast cells release in the nose, when that release happens histamine is also released, which starts an inflammatory process (McCance & Huether, 2018).
Vasodilation and more porous surface due to the inflammatory mediators that were released by the mast cells caused fluid (mucus) build up and pool in the back of the throat and nose that drips down the throat (McCance & Huether, 2018).
References
McCance K., L., & Huether, S., E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.) St Louis, MO: Mosby Inc; ISBN-13: 978-0323583473
Sobkowiak, P., Langwiński, W., Nowakowska, J., Wojsyk-Banaszak, I., Szczepankiewicz, D., Jenerowicz, D., Wasilewska, E., Bręborowicz, A., & Szczepankiewicz, A. (2020). Neuroinflammatory Gene Expression Pattern Is Similar between Allergic Rhinitis and Atopic Dermatitis but Distinct from Atopic Asthma. BioMed Research International, 1–10. https://doi-org.su.idm.oclc.org/10.1155/2020/7196981
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