Describe this child’s short and long term prognosis.Ĥ. What causes it? Share your clinical reasoning for your choice with your colleagues using research and literature support.ģ. What diagnosis would you finally choose from your list of diagnoses? Describe the pathophysiology behind the disorder. Share your clinical reasoning for your choices with your colleagues using research and literature support.Ģ. Provide your list of differential diagnoses after studying the case study. Responses must answer for Scenario 2 Discussion:ġ. Her hemoglobin and hematocrit are in the low normal range. The Ivy bleeding time is prolonged, and bone marrow aspiration demonstrates increased megakaryocytes and normal erythrocytes and granulocytes. Her blood analyses indicate thrombocytopenia, and the few platelets are large. Her only recent health issue was an upper respiratory infection 2 weeks ago. She and her parents cannot recall any recent injuries, and the epistaxis began spontaneously that morning. On examination, a generalized purple petechial rash and hemorrhage bullae on her gums and lips are detected. Support your discussion with citations from the external literature, the Shadow Health simulation assignment, and your textbook.Įight-year-old Elise arrives at the clinic with severe epistaxis. Develop a plan of care post-discharge based upon your recommendations living arrangements and social supports. Identify the pathophysiologic mechanism for her chest pain.ĥ. Provide and discuss what the most common causes of this disease are, and which is most likely in this patient?Ĥ. Support your choice of diagnosis with current research and literature.ģ. Provide and discuss this patient’s likely diagnosis with your colleagues. Support your choices with relevant & current research.Ģ. Provide and discuss your list of differential diagnoses with your clinical reasoning for each one. Responses must answer for Scenario 1 Discussion:ġ. Abdominal and extremity examinations are normal. Cardiac examination is tachycardic with a three-component high-pitched squeaking sound. The neck is supple, with shotty anterior cervical lymphadenopathy. Her head and neck examination is notable for clear mucus in the nasal passages and a mildly erythematous oropharynx. On physical examination, she appears in moderate distress from pain, with a blood pressure of 125/85 mm Hg, heart rate 105 bpm, respiratory rate 18/min, and oxygen saturation of 98% on room air. She denies tobacco, alcohol, or drug use. ![]() She has no medical history and is taking no medications. On review of systems, she has noted a “flulike illness” over the last several days, including fever, rhinorrhea, and cough. It radiates to the back, is worse with taking a deep breath, and is improved by leaning forward. ![]() The pain is described as 8 on a scale ranging from 1 to 10, retrosternal, and sharp in nature. Jackie Johnson, a 35-year-old African-American, married female, advertising executive, presents to the emergency department with complaints of chest pain.
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