NR 507 Week 2 Discussion One

Identify hallmark signs identified from the physical exam and symptoms.

Most common signs identified in the physical exam would be common symptoms of CF include persistent respiratory infections (i.e., wheezing and coughing) noted upon examination. Pancreatic insufficiency (i.e., greasy, foul-smelling stools) in which the parents complained of the main reason patient was brought into the clinic. A patient is Caucasian CF affects 1 in 3,000 Caucasians (Katkin, 2017). Patients age and her patient being small for five- months old.

OR

Identify hallmark signs identified from the physical exam and symptoms.

Cystic fibrosis often occurs primarily in the white population; it affects 1 in 29 whites in the united states. The symptoms typically start with the respiratory and digestive systems. Respiratory symptoms include a persistent cough or wheeze, sputum production, and recurrent or severe pneumonia, and chronic sinusitis and nasal polyps. “Persistence of infection incites chronic local inflammation, airway damage, bronchiectasis, microabscess formation, and foci of hemorrhagic pneumonia.

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Identify hallmark signs identified from the physical exam and symptoms SAMPLE RESPONSE

I really appreciated how in the education section you mentioned to the mother what kind of symptoms would require immediate medical attention. This is not something that I thought about mentioning, but it is, of course, extremely important information! In my education part, I focused more on helping the mother feel better about the diagnosis and the long-term effects on her daughter. You did that, but you went a step further and that caught my eye! When a healthy child contracts the flu, it can be a scary time for any parent. But when that child has Cystic Fibrosis and the flu, it can be an actual life or death situation. The flu on it’s own could lead to a worsening in symptoms for the child, but that flu could develop into pneumonia leading to a marked decrease in lung function that could ultimately result in death (CFF, n.d.). I found an interesting study, however, of a patient with cystic fibrosis that seemed to present with flu, but it turned out to be a completely different and rare disease that is not usually associated with cystic fibrosis; Kawasaki Disease. So, this teaches us that we should never take the easy way and just assume, but “when the clinical course does not follow a typical pathway including persistent, high fever, alternate etiologies must be considered” (Osborne, Stillwell, Zemanick, & Dominguez, 2017). Thank you for your very informative post!