SophiaPretty

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Teaching Since: Jul 2017
Last Sign in: 304 Weeks Ago, 1 Day Ago
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    Strayer,Devery,Harvard University
    Mar-1995 - Mar-2002

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  • Manager Planning
    WalMart
    Mar-2001 - Feb-2009

Category > Health & Medical Posted 28 Sep 2017 My Price 10.00

please find the attached document and help me answer the question

Chief Complaint

“It hurts to swallow.”

HPI

David Jacobs is a 5-year-old boy who presents to his pediatrician complaining of sore throat. His mother states he has had fever and has been sleeping more than usual over the past 2 days. He has refused to eat anything solid since this time. Mother states he does not have a cough, shortness of breath, or difficulty breathing. The patient states both his stomach and head ache, but his mother states he has not vomited. Mother notes no illness in the family, but she heard parents in day care talking about “strep.”

PMH

The patient has had prior cases of otitis media, his last over a year ago. Otherwise he is healthy. His mother states that he is up-to-date on all vaccinations.

FH

Noncontributory

SH

David lives with his parents and infant sister. He attends a local day care and preschool.

Meds

None

All

NKDA

ROS

Negative except for complaints noted in the HPI

Physical Examination

Gen

WDWN 5-year-old male, clearly fatigued

VS

BP 104/70, P 92, RR 22, T 38.8°C, Wt 21 kg, Ht 45″

Skin

Pale, warm, no sign of rash

HEENT

PERRLA; tonsils erythematous with associated white exudates; uvula edematous; soft palate with notable petechiae, TM normal

Neck/Lymph Nodes

Enlarged anterior cervical lymph nodes

Lungs/Thorax

CTA bilaterally, (–) shortness of breath, (–) cough

CV

RRR, normal S1 and S2

Abd

Soft, nontender, nondistended, (+) BS

Genit/Rect

Deferred

Neuro

CN I–XII intact

Labs

RADT: positive

Assessment

A 5-year-old male presents to the pediatrician with GABHS pharyngitis.

 Answer the following questions

 

Symptoms;  List two pertinent signs and symptoms,

 

Recommended  Drugs: Provide list of recommended drugs  as indicated for this diagnosis,

 

Drug Categories and Subcategories: Identify the category of each recommended drug

 

Rationale: Provide rationale, clinical guidelines, or evidence for the selected drug of choice

 

Contraindications and/ or Risks, as appropriate: Identify contraindications and risks as appropriate

 

What Patients Must Understand:  Identify at least three appropriate teaching points for the patient and/or family

 

 

Attachments:

Answers

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Status NEW Posted 28 Sep 2017 12:09 PM My Price 10.00

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