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Pathophysiology and Clinical Findings of the Disease

Case Study Scenario #1 A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares. Case Study scenario # 2 A 72-year-old male presents to the primary care office with shortness of breath, leg swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends three weeks ago because of shortness of breath tha​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​t became worse with activity. He decided to come to the office today because he is now propping up on at least 3 pillows at night to sleep. He tells the NP that he sometimes sleeps better in his recliner chair. PMH includes hypertension, hyperlipidemia and Type 2 diabetes.

Sample Solution

Those who feel Lawrence's conduct was IIED, would primarily argue that he did act outrageously and intolerably. They would probably point to Korbin as a basis for holding Lawrence liable in the common law hypothetical, claiming Lawrence's words, like Muriel Berlin's were intended to significantly harm the child emotionally. Furthermore, opponents of my view may hold that because children are treated differently than adults in IIED cases, Lawrence's words were cruel enough to cause severe emotional distress to a child of ordinary sensibilities. In addition, the fact that Jim had intense nightmares where he would wake up screaming and his listless depression is another argument critics of my position would use to support the claim that IIED occurred. Consequently stating that such drastic emotional distress could only result from Lawrence committing IIED. Lastly, people have claimed Lawrence's harsh words illustrate that his intention was to emotionally harm Jim. Therefore, pointing out that Lawrence purposefully and maliciously assaulted Jim's mind. I will agree with my opponents point that Jim was severely emotionally distressed as a result of his coaching session, but I don't agree with their claim that Lawrence's conduct was outrageous. Those who disagree with me compare Lawrence's conduct to the Berlin's in Korbin. However, Lawrence did not use harsh words out of a malicious motive. He told Jim's parents in his interview that he demanded the very best from his students and that he altered his coaching methods to whatever would improve the child's grades the most (Den Otter, 29). Whereas, Berlin told cruel lies simply to emotionally shock and hurt the six-year old girl. Lawrence only spoke harshly to Jim, to accomplish what he had promised; improved grades. And he succeeded. Furthermore, had Jim been a ten year old boy of ordinary sensibilities, he would not have been so emotionally distressed by the insults. We are told in the hypothetical that Jim was a quiet and passive boy, but the parents never tell Lawrence about Jim's temperament. A fifth grade boy of ordinary sensibilities could handle being called a "stupid idiot" and being threatened with working at McDonalds. One only has to look at the way many football coach's scream and insult ten-year-old boys to determine Lawrence's language was not outrageous or utterly intolerable. Moreover, t
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