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MCS,MBA(IT), Pursuing PHD
Devry University
Sep-2004 - Aug-2010
Assistant Financial Analyst
NatSteel Holdings Pte Ltd
Aug-2007 - Jul-2017
This is the second part of the assignment. I will attach the 1st part so that you have all the information needed to answer the questions at the bottom of the case study in detail with the cites from evidence based articles .
Case study 3:Part Two
Physical Examination: Jo
Age: 5-year-old female
Vital Signs: Height: 107 centimeters, Weight: 19 kilograms, B/P:100/60, T: 98.7, HR: 84 BMP/reg., Resp: 18, reg, non-labored, SpO2: 99%
HEENT: Head normocephalic atraumiatic, hair thick and distributed throughout entire scalp; conjuctiva clear, non-icteric, PERRLA, EOM’s intact; tympanic membranes intact, unremarkable; pinna/tragus w/o tenderness; nares patent, unremarkable bil; pharynx unremarkable tonsils 2/4 bil; primary tooth eruption to include first molars upper and lower; no loose teeth; oral exam unremarkable; neck supple w/o lymphadenopathy; thyroid small, firm, equal bil.
Cardiopulmonary: Heart RRR w/o murmur; lungs CTA throughout; respirations even and unlabored; abdomen sl. rounded normoactive bowel sounds throughout, soft, non-tender, no masses, or organomegaly; peripheral pulses reg., equal., intact bil radial and pedal.
Musculoskeletal: MAE
Cognitive or Behavioral: The patient was uncooperative this visit. The patient hides behind the exam table and tells her mother no frequently. She takes the exam paper off of the table, crawls around under the table, and kicks at her mother when the mother attempts to pull her out. You are able to get her out from under the table with much coaxing and a promise of stickers. There is difficulty to get her to stay focused while you examine her, and she asks frequent, tangential questions.
Discussion Questions Part Two:
"Please add the following to your response.
Primary diagnoses and differential diagnosis, with the following in brief for your primary diagnosis:
Further diagnostic you would like
Medications for treatment
Referrals
Conservative measures
* Remember to include your evidence-based reference for your rationale."
Attachments:
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