UNIVERSITY OF PERPETUAL HELP SYSTEM – LAGUNA

Sto. Niño Biñan, Laguna

College of Nursing

Case Study

(Ulcerative Pharyngitis)

Ilagan Richard M.
BSN4-L GROUP46
 INTRODUCTION
What is Ulcerative Pharyngitis?
>often simply referred to as a sore throat - is inflammation of the
pharynx, the portion of the throat that lies just beyond the back of the
roof of the mouth and stretches to the Adam's apple (pharynx). It
usually occurs when viruses (or sometimes bacteria) from a cold, flu,
or sinus infection involve the throat

>inflammation of the pharynx marked by ulceration of the mucosa;

may have a viral etiology.

What are the causes of Pharyngitis?

• Viral
• Adenovirus
• Influenza
• Gonorrhoea
• Diphtheria
• Oral candidiasis
• Epiglottitis
• Nasopharyngeal carcinoma
• Peritonsillar abscess
• Bacterial throat infection
• Throat scratches
• Swallowed corrosives
• Viral throat infection
• Chronic smoke exposure
What are the signs and symptoms of
Pharyngitis?
Symptoms of Pharyngitis

The most common symptoms are:

• Sore or red, raw throat

• Difficulty speaking or swallowing
• Tender, swollen lymph nodes (glands) in the neck
• Fever
• Headache
• Earache
 Patient’s Profile

Name: Baby V

AGE: 10months

Address: San Pedro Laguna

Date of Birth: September 17, 2009

Place of Birth: Laguna

Nationality: Filipino

Religion: Catholic

Father’s Name: Mr.G

Mother’s Name: Mrs. G

Admitting Diagnosis: Fever

Final Diagnosis: Ulcerative Pharyngitis

Chief complaint:

FEVER

History of present illness: 1day PTA

Onset of fever (39˚c)
No oral intake
(-) Cough, Colds
(-) Vomiting
(-)Diarrhea

Persistence of above condition prompted admission

(-) DOB
(-) Vomiting

Maternal and Birth History

U/R

Feeding History

U/R
 PHYSICAL ASSESSMENT

• (-) TENDERNESS
GENERAL: • (-) BM

• CONSCIOUS
• WEAK
• DROWSY UPPER & LOWER EXTREMITIES:
• (-) RASHES

SKIN:

• NO JAUNDICE
• FLUSHED SKIN

HEAD:
• SYMMETRIC
• SYMMETRIC FACIAL
MOVEMENTS

EYES:
• PINK PALPEBRAL AND
BULBAR CONJUNCTIVA
• PERI- ORBITAL EDEMA

EARS:
• SYMMETRICAL
• NO SECRETIONS

NOSE:
• (-) COLDS

ABDOMEN:
 Medical Management

Date and Time Doctor’s order

09/17/09  Pls. admit to ROC

10am in service of Dra.

Omalin
 Secure consent
 NPO temporarily
 Monitor VS Q2; I &
O Q shift
 IVF D5.03 Nacl
500cc at 56-57
cc/hr
 Dx: CBC with UA
 Tx: Ampicillin
225mg IV Q6
ANST( )
 Aeknil 25mg IV Q4
for T > 38.5
 Paracetamol drops
1ml Q4 T > 37.8
11:25am  Do IV testing of
Ampicillin and
inject 0.5cc
monitor for 15mins
for any untoward S
& Sx of allergic
reaction
 Xylogel TID
 DFA
 Herpex
200mg/5ml 2.5ml
QID

3:25pm
 D5.03Nacl 500cc
@ same rate
6:15pm
 IVF D5IMB 500cc
9/18/09 x 56ugtts/min
4:30pm
 D5IMB 500cc x 56
ugtts/min
 Decrease IVF to 25
ugtts/min
 Shift to cephalexin
100mg 1.25 Q 8hr
 To start one IV
09/19/09 meds consumed
8am  MGH
 Home meds
- Cephalexin
100mg/ml 1.25 ml
Q 8hr x 7days
7am-2pm-10pm
- Herpex
200mg/5ml
2.5ml 4x a day
(to consume)
8am-12nn-4pm-8pm
- Xylogel 3x a day
 Anatomy and Physiology

Throat anatomy

Structures of the throat include the esophagus, trachea, epiglottis and tonsils.
PATHOPHYSIOLOGY
 Laboratory Results

Hematology 09/17/09
Components Values Result
Hemoglobin Male 120-180 gm/L
Female 110-140 gm/L = 117 g/l
Hematocrit Male 0.40-0.54
Female 0.37-0.47 = .36
RBC Male 4.5-6 x 10/L = 4.5
Female 4.0-5.7 x 10/L

Total WBC 4-10 x 10 /L = 15.5