Discussion Question: Alterations in Immunity By the due date assigned, respond to the case study questions below and submit your responses to the Discussion Area. Respond to the question using the lessons and vocabulary found in the readings. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow APA format for writing style, spelling and grammar, and citation of sources. Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response. Complete your participation for this assignment by the end of the week. Case Study: Janet, a 20 year-old college student, is experiencing a five-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. Janet gets frequent “colds” every spring and fall. Physical Examination Vital Signs: Temp, 98.8; BP 110/68; Pulse 72; Respirations 18 Skin: Flaking erythematous rash on the flexor surfaces of both arms Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage Lungs: Clear to auscultation and percussion Discussion Questions: 1. Provide three differential diagnoses based on Janet’s subjective and objective data and discuss your reasoning for each. 2. What additional history questions would be useful in your evaluation of Janet? 3. Discuss the pathophysiological process of your primary diagnosis. 4. Differentiate the types of hypersensitivity mechanisms. 5. As per your analysis, what type of hypersensitivity reaction is Janet experiencing?
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