Lori Lindsey-Clarkston
									Case Study #1

	A Full set of vital signs need to be obtained as a beginning assessment the client has reported no fever, I would still check her temperature to confirm she is afebrile.  I would also look in her ears, nose and throat with the laryngo/otoscope to see if there is any fluid or swelling of the tissues.  If there were in fact white patches on the back of the throat I would perform a rapid Strep A screen by obtaining a throat swab.  The lymph nodes in the neck need to be palpated for swelling.  Tenderness of the forehead, under the eyes and ears need to be assessed to see if the sinus cavities are inflamed.  
	Further assessment would include auscultation and palpation of lungs to rule out an upper respiratory infection.  I would question the client regarding cough, if she has one, if she does is it productive or not, if it is productive the color of the phlegm produced, the frequency of the cough, what aggravates it and when it is most prevalent, meaning at night while lying down.