Infectious Diseases in Children
Infectious Diseases in Children
The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.
For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course and textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
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’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to your classmates. Complete your participation for this assignment by the end of the week.
Clinical Case Scenario:
An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:
A blood and urine culture
A complete blood count
A comprehensive metabolic panel
The culture reports were found to be negative.
Today, the vitals of the child are the following:
Temperature: 101.5 degrees Fahrenheit
Heart rate: 120 beats/minute
Respiratory rate: 20 breaths/minute
Blood pressure: 90/40
Physical examination of the child indicates the following positive findings:
Injected conjunctiva
Palmar redness
Magenta-colored lips
Red macula
Excoriating rashes in the diaper area
On the basis of the above information, respond to the following:
What is the CC, VITALS, HPI, ROS, and PE findings of this case?
What labs were order or do you want to order? Why do you want to order those labs?
What are 3 differential diagnoses for this clinical case? Why? What clinical data support your differentials?
What is the most likely diagnosis? Identify the clinical data that supports why you believe this is true and provide a rationale for your answer.
As the Nurse Practitioner caring for the patient, what is the next step in this evaluation? What is your treatment recommendation and education for the patient/family? Why? Anticipatory guidance?
The answers to the questions are to be posted in following the SOAP NOTE FORMAT below. You are to include the headings and subheadings below in your answer:
SUBJECTIVE
CC:
HPI:
ROS:
MEDICAL HISTORY (if available)
OBJECTIVE
VITALS
PHYSICAL EXAM
LABS & DIAGNOSTIC RESULTS
ASSESSMENT
PRIMARY DIAGNOSIS
2 DIFFERENTIAL DIAGNOSIS
PLAN
TREATMENT
EDUCATION
ANTICIPATORY GUIDANCE
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