Help me with my dr's notes?!
Question: Help me with my dr's notes!?
Because I'm always nosy when I read them off their website:
For ten points!.!.!. what was I diagnosed with!?
Gen: 26 y!.o!. female, well-nourished, in no apparent distress
HEENT: TMs injected with fluid L > R bilaterally
Nares with scant discharge, moderate mucosal erythema and edema
OP moist with mild to moderate posterior cobblestoning
+ tenderness frontal, maxillary, ethmoid sinuses
Neck: Some R/L anterior cervical lymphadenopathyWww@Answer-Health@Com
For ten points!.!.!. what was I diagnosed with!?
Gen: 26 y!.o!. female, well-nourished, in no apparent distress
HEENT: TMs injected with fluid L > R bilaterally
Nares with scant discharge, moderate mucosal erythema and edema
OP moist with mild to moderate posterior cobblestoning
+ tenderness frontal, maxillary, ethmoid sinuses
Neck: Some R/L anterior cervical lymphadenopathyWww@Answer-Health@Com
Answers:
OK - you are a 26 year old female with no obvious pain/discomfort; A head, eye, ear, nose and throat (HEENT) exam reveals fluid in both tympanic membranes (ears), left worse than right, moderate redness and swelling of the mucosal lining of the nose with a slight, thin discharge and some mild/moderate cobblestoning (a wrinkling of the tissue, etc!. that resembles a cobblestone street) of the oropharynx!. Tenderness is noted in the frontal, maxillary and ethmoid sinuses, located in the following areas: frontal sinus - above the eyebrows; maxillary sinus - beneath the cheeks, above the teeth and on each side of the nose; ethmoid sinus - a series of small matchbox-size air spaces enclosed within the ethmoid bone, situated between the eye sockets and above the nose!. In addition, there is abnormal enlargement of the frontal neck lymph nodes bilaterally!.
Differential diagnoses would be common cold, sinusitis, viral nasopharyngitis and rhinitis!. I think you were diagnosed with allergic rhinitis!. There is a tendency for people to associate the symptoms listed with the common cold!. Even doctors will sometimes lump together the range of possible viral upper respiratory infections under the umbrella of "a cold"!. But a cold rarely causes lymphadenopathy!. Rhinitis, both allergic and non-allergic, typically cause lymphadenopathy as well as middle ear effusion (evidenced by the tympanic membrane findings), very mild nasal discharge and the swelling of the mucosal lining and sinuses!. The reason I think it's allergic rhinitis rather than non-allergic is the presence of cobblestoning in the posterior pharnyx!.
After all that, I'm probably wrong :-)Www@Answer-Health@Com
Differential diagnoses would be common cold, sinusitis, viral nasopharyngitis and rhinitis!. I think you were diagnosed with allergic rhinitis!. There is a tendency for people to associate the symptoms listed with the common cold!. Even doctors will sometimes lump together the range of possible viral upper respiratory infections under the umbrella of "a cold"!. But a cold rarely causes lymphadenopathy!. Rhinitis, both allergic and non-allergic, typically cause lymphadenopathy as well as middle ear effusion (evidenced by the tympanic membrane findings), very mild nasal discharge and the swelling of the mucosal lining and sinuses!. The reason I think it's allergic rhinitis rather than non-allergic is the presence of cobblestoning in the posterior pharnyx!.
After all that, I'm probably wrong :-)Www@Answer-Health@Com
Your physician is saying your head and ears look fine!. You have a little bloody mucus coming out of your nose, a little bit of swelling around your eyes, some tenderness around the "mustache"/upper lip portion of your face, some extra fluid in your sinuses (which are the empty spaces in your skull) and a little bit of swollen lymph nodes around your neck!. Your throat is swollen and moist!.
Lymph nodes are part of your immune system!.
My guess is you have mono or a viral infection of some sort!. Possibly allergic rhinitis!.Www@Answer-Health@Com
Lymph nodes are part of your immune system!.
My guess is you have mono or a viral infection of some sort!. Possibly allergic rhinitis!.Www@Answer-Health@Com
Sounds like some kind of head cold/flu or sinus infection!.Www@Answer-Health@Com
Hmmmm!.!.!. You had a cold!?Www@Answer-Health@Com
My guess would be HayfeverWww@Answer-Health@Com