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Exam (elaborations)

Pediatric GAS Pharyngitis Shadow Health (Sophia Hadad)- Transcript

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Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results/Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results Pediatric GAS Pharyngitis: Many viruses and bacteria can cause acute pharyngitis. Streptococcus pyogenes, which are also called group A Streptococcus or group A strep, cause acute pharyngitis known as strep throat. Group A strep pharyngitis is an infection of the oropharynx caused by S. pyogenes. Group A strep pharyngitis is an acute pharyngitis that commonly presents with, sudden-onset of sore throat, odynophagia, fever. Other symptoms may include headache, abdominal pain, nausea, and vomiting — especially among children. Patients with group A strep pharyngitis typically do not typically have cough, rhinorrhea, hoarseness, oral ulcers, or conjunctivitis. These symptoms strongly suggest a viral etiology. On clinical examination, patients with group A strep pharyngitis usually have, pharyngeal and tonsillar erythema, tonsillar hypertrophy with or without exudates, palatal petechiae, anterior cervical lymphadenopathy. Patients with group A strep pharyngitis may also present with a scarlatiniform rash. The resulting syndrome is called scarlet fever or scarlatina. Patient Narrative: Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results/Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results Sophia Haddad is a 5-year old female who presents is with painful swallowing. This assignment provides the opportunity to conduct a focused exam on a pediatric patient who presents with Group A Streptococcal Pharyngitis. You will interview Sophia Haddad and her father, Omar, using therapeutic communication and obtain enough subjective data to determine the appropriate pharmacological therapy for her condition. After the patient exam, you will select the most appropriate medication for Ms. Haddad and educate her father on how to safely administer it and care for Sophia while she is sick. If applicable, you will write a prescription for the selected medication. On average, this assignment should take 75 minutes to complete. Planning your time: • Review the assignment settings your instructor selected on the assignment overview page. • Every assignment setting allows you to stop and resume an assignment until you leave the patient's room. Your progress is automatically saved every 30 seconds. Assignment First Turn In Allow Reopening Flexible Turn In Time Estimate ~60 minutes ~75 minutes ~120 minutes Tips for success: You should prepare prior to entering Ms. Henderson’s room. We suggest taking out your textbook to remind yourself of what doing an assessment entails. There are essential sections of patient information that your interview will need to uncover. There are multiple essential questions for each of these topics:  Chief Complaint  History of Present Illness  Past Medical History pertaining to her UTI  Home medications  Social history pertaining to her UTI  Family history related to her UTI  Targeted review of systems related to her UTI Know all of your qualifying questions for any symptom that may be reported:  Onset  Location  Duration  Characteristics  Aggravating/alleviating factors  Related symptoms

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6/25/2019 Focused Exam: Pediatric GAS Pharyngitis | Completed | Shadow Health
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Focused Exam: Pediatric GAS Pharyngitis Results | Turned In
Advanced Pharmacology - Summer 2019, NURS 5304
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Your Results Lab Pass




Overview
Transcript
Transcript
Started: May 19, 2019 | Patient Exam Time: 2 min
Subjective Data Collection
All Lines (63) Interview Questions (56) Statements (7) Exam Actions (0)
Objective Data Collection
Greet
Education & Empathy
hello sophia, My name is Amanda . I will be your provider today 05/19/19 8:39 AM
CDT
Documentation

Debrief
Hi there.
Medication Selection

Question
Patient Teaching
How are you feeling? 05/21/19 10:36 AM
CDT
Prescription Writing

Student Survey
I feel really bad.


Empathize
am so sorry you are feeling bad. I am hoping that we can make you
05/21/19 10:37 AM
feel better. I
CDT



Thank you.


Question
Hello Mr. Omar, My name is Amanda Garcia and I will be your
05/21/19 10:39 AM
daughters provider for today.
CDT



Hello.




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, 6/25/2019 Focused Exam: Pediatric GAS Pharyngitis | Completed | Shadow Health

I just want to clarify the information that I have about her (No Question
matching questions found.) 05/21/19 10:40 AM
CDT


Question
What brings your daughter in today 05/21/19 10:41 AM
CDT


I got a call from the nurse at Sophia's school. She had a sore throat
and a fever of 102.


Question
When was that? (No matching questions found.) 05/21/19 10:41 AM
CDT


Question
Has she had any medications today? 05/21/19 10:42 AM
CDT


I gave her children's ibuprofen, the liquid kind. The strength was . . .
100 mg per 5 mL.


Question
How much of the ibuprofen did you give her? 05/21/19 10:42 AM
CDT



I gave Sophia 7.5 mL. That's the dose that the bottle said to give.


Question
Does she take any other medications at home? (Clarified to Does
05/21/19 10:43 AM
your daughter take other kinds of medication?.)
CDT


In the past she took antibiotics, for her ear infections. She's also taken
some kind of children's pain reliever -- we mostly give her ibuprofen
when she's sick and she needs it. (Clarified to if my daughter takes
other kinds of medication.)


Question
How long has she been feeling bad for? (Clarified to How long has
05/21/19 10:44 AM
your daughter been sick?.)
CDT


The school called me about 2 hours ago saying Sophia had a fever of
102 and a sore throat. (Clarified to how long my daughter has been
sick.)


Question
How long has she had a fever for? (Clarified to How long has your
05/21/19 10:44 AM
daughter had a fever?.)
CDT


I'm not sure, to be honest. I didn't realize she had a fever this
morning, but I do know her temperature was 102 this morning at the
school clinic. (Clarified to how long my daughter has had a fever.)


How long has your daughter had a sore throat?
Howfrom
This study source was downloaded by 100000839739811 longCourseHero.com
has your daughter had a sore
on 03-07-2022 throat?
08:55:49 GMT -06:00

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https://www.coursehero.com/file/43684253/GAS-Pharyngitis-Transcriptpdf/

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