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Ped case study
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Ped case studyThis is a graded discussion: 100 points possible
due Mar 22
Week 3: Sick Child Clinical Case
Presentation
8 unread replies.4949 replies.
Purpose
The purpose of this assignment is for learners to:
• Have the opportunity to integrate knowledge and skills learned
throughout all core courses in the FNP track and previous clinical
courses.
• Demonstrate an advancing understanding of the care of women and
children.
• Demonstrate the ability to analyze previous patients seen in the
clinical setting be able to perform an evidenced-based review of their case,
diagnosis, and plan, while guiding and taking feedback from peers
regarding the case
• Demonstrate professional communication and leadership, while
advancing the education of peers.
Course Outcomes
1. Integrate current evidence based clinical practice guidelines in
the care of childbearing and childrearing families.
2. Appropriately apply anticipatory guidance and health promotion in
the care of childbearing and childrearing families.
3. Assess growth and developmental milestones in the care of
childbearing and childrearing families.
4. Construct an evidence based reproductive health management plan.
5. Identify and address healthcare needs of marginalized
childbearing and childrearing families
Requirements
For Week 3 of the course you will be presenting your own case from clinical.
The case should be clear, organized, and meet the following guidelines:
Initial Case Presentation:
Present only the subjective and objective data only on the patient organized as
you would organize them in a SOAP (CC, HPI (no OLDCART for HPI); ROS, PE
findings, and any lab or diagnostic findings for your patient.
,**Do not put the diagnosis or plan in initial post. No Assessment/Plan in the
initial post. No citations or references are required for your initial post, you
will post references in your summary post.
WEEK 3: The case should be pediatric (a patient age 17 years or younger).
WEEK 3 specific guidelines: The case must not be something overly simple.
The list of things that should not be covered include sore throat, URI, UTI,
ear infection, or contact dermatitis (poison ivy). You need to present a case
that intrigued you or presents new content in a different light. *One of the
above diagnosis can be presented if the findings were unusual and you clear
such case with your course faculty prior to posting (at least 2 days before
posting). In the pediatric case you must also include in the objective data
growth chart percentiles for height, weight, and BMI, and tanner staging. A
patient you saw both for initial complaint and follow-up would be ideal, but not
required.
Leading the Discussion: Post your subjective, objective, and diagnostic data
for your patient by Wednesday at 11:59 PM MT.
Interactive Dialogue: As a student you will also be required to respond to at least
two
(2)other students initial case presentation. In your responses, you must
include the following: Your top three (3) differentials based on the
information provided and why (rationale based on presentation findings),
the primary diagnosis you are leaning toward, how you would treat that
diagnosis. Use references to support your
response. *DEADLINE - YOUR RESPONSES TO 2 STUDENTS ARE DUE BY FRIDAY
AT 11:59 p.m. (MT). **If all students have a response, then choose the student
with the least responses to their posting.
Clinical Case Presentation Summary Criteria:
By Sunday 11:59 p.m. MT, post a summary reply to your initial post and
respond to any faculty questions to your initial posting or question(s)
posed to the general class. Use references to support all of your
responses.
Criteria for Summary Post should include all of the following required
elements: Summary post written in paragraph(s) type format (No SOAP note
for Summary Post); discuss primary and any applicable secondary diagnoses
along with treatment plan
for each diagnosis. Scholarly and evidence based in-text citation support for
all of the listed diagnoses; Scholarly and evidence based in-text citation for
each treatment plan. Differential diagnoses are eliminated. Summarize your
peer's posts to your presentation.
*Remember not to use any patient identifiers in your posting (this would be
full names or disclosure of clinic name, preceptor name, et cetera). Please
include age, gender, and race.
**To see view the grading criteria/rubric, please click on the 3 dots in the box at
the end of the solid gray bar above the discussion board title and then Show
Rubric.
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Collapse SubdiscussionRachel Cox
Rachel Cox
Mar 16, 2020Mar 16 at 4:33pm
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Patient Information:
7-year old, African American, Female
Subjective.
CC : Scalp itchy and painful with dry skin and significant hair loss
HPI: Mother stated the condition has been present for 2 months and
has gradually gotten worse.
Current Medications: no current medications
Allergies: Sulfa drugs
PMHx: Up to date on vaccines, no surgical history, no past major illnesses.
Soc Hx: currently in 2nd grade in a public school, has frequent
sleepovers with friends, on a soccer team, enjoys reading. No one in
house smokes, wears her seatbelt.
Fam Hx: lives with her mom, brother, and two sisters.
ROS:
CONSTITUTIONAL: No weight loss, fever, chills, weakness or fatigue.
HEENT: Eyes: No visual loss, blurred vision, double vision or yellow
sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny
nose or sore throat.
SKIN: Scalp is dry with itchy, painful, scaly patches. Significant hair loss
present on head
CARDIOVASCULAR: No chest pain, chest pressure or chest
discomfort. No palpitations or edema.
, RESPIRATORY: No shortness of breath, cough or sputum.
GASTROINTESTINAL: No nausea, vomiting or diarrhea. No abdominal
pain. GENITOURINARY: No urinary issues.
NEUROLOGICAL: No headache, dizziness, syncope, numbness or tingling
in the extremities. No change in bowel or bladder habits
MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness.
HEMATOLOGIC: No anemia, bleeding or bruising.
LYMPHATICS: Enlarged occipital, postauricular, submandibular, and
posterior cervical nodes. No history of splenectomy.
PSYCHIATRIC: No history of depression or anxiety.
ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No
polyuria or polydipsia.
ALLERGIES: No history of asthma, hives, or eczema.
Objective.
Physical exam:
HEENT: Eyes: PERRLA, sclera is white and clear, conjunctiva pink and moist
Ears, Nose, Throat: No drainage present in bilateral ears, no swelling,
redness, drainage, effusion or cerumen present bilaterally. No hearing
loss. No sneezing, congestion, or drainage present in nose. Posterior
pharynx is pink & there is no post nasal drainage, tonsils are 2 +.
SKIN: Scalp is dry with itchy, painful, scaly patches. Significant hair loss
present on head
CARDIOVASCULAR: S1, and S2 auscultated, regular rate
RESPIRATORY: Lungs clear to auscultation in all lobes anterior and posterior
GASTROINTESTINAL: Bowel sounds present in all four quadrants. No
abdominal pain or tenderness upon palpation.
MUSCULOSKELETAL: Full ROM present in upper and lower extremities
LYMPHATICS: Enlarged and tender bilateral occipital, postauricular,
submandibular, and posterior cervical nodes.
height: 3’10”
weight: 55 lbs
BMI: 18.3
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