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103 medical
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Module 1-7
Case Study
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Module 1 Case Study_
Medical Terminology
Score for this quiz: 28 out of 30
Submitted Dec 30, 2022 at 8:10am
This attempt took 813 minutes.
Below is a SOAP (Subjective, Objective, Assessment, Plan) note
entered into a pediatric chart. Review carefully and then answer the
following questions.
Subjective:
Ben Smith is a 10-year-old male who presents for a sick visit at the
pediatric office accompanied by his mother. He complains of a fever, sore
throat, and general malaise for the past three days. His appetite has been
poor, and he has had pain with swallowing. He has had occasional
nausea with vomiting. His temperature has been fluctuating around
101.1°F. There has been a mild headache. He has not had any cough or
rhinorrhea. He denies any shortness of breath, diarrhea, abdominal pain,
or painful urination. Several children in his 5th-grade class have also been
sick in the past few weeks.
Objective:
Vital signs:
Temperature: 99°F.
Heart Rate: 115 beats per minute.
Respiratory Rate: 15 breaths per minute.
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Blood Pressure 110/76.
Oxygen saturation: 100% on room air
General: Well-nourished; awake and alert; oriented to place, person,
and time.
HEENT
Head: No sinus tenderness, normocephalic, atraumatic
Ears: Tympanic membrane intact; no erythema
Eyes: Pupils equal, round, and reactive to light, Conjunctiva
without erythema
Nose: Mucous membranes intact, without congestion
Throat: Erythematous and edematous pharynx and soft palate,
tonsils swollen with white exudate bilaterally, anterior cervical
adenopathy that is tender to touch
Respiratory: Normal breath sounds, no coughing observed
Heart: Normal sinus rhythm, no murmurs
Abdomen: Nontender to palpation, nondistended, normal bowel
sounds
Extremities: Upper and lower extremity joints without tenderness and
with normal range of motion, no edema noted
Neurological: Awake, alert, oriented to time, place, and person.
Without signs of distress.
Skin: Without rashes or ecchymosis.
Assessment:
Acute group A streptococcal pharyngitis without signs of rheumatic fever
Plan:
1. Support symptoms with anti-inflammatory medications such as
ibuprofen 100mg/mL 12.5 mL by mouth every 6 hours as needed for
fever and general pain.
2. Pt with a score of 5 using the Centor criteria. Ordered rapid strep test
in office. Rapid test was positive for streptococcal antigen. No need to
proceed with throat culture.
3. Called prescription of amoxicillin 500mg po q12h for 10 days into the
patient’s pharmacy.
4. Instructed patient to remain home from school until fever-free for 24
hours.
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5. Instructed to call the office for worsening, persistent fever or chills,new
rash, or other concerns.
Question 1 pts
Define the medical terms seen in italics above. Identify the Latin and
Greek word elements of the words if present.
Your Answer:
malaise- sickness/unwellness
rhinorrhea- runny nose- rhin/o/, rrhea
normocephalic- normal head size- norm/o-cephal
atraumatic- non-traumatic, no injury, a/
Conjunctiva- lining of eyelid
erythema- reddened- er/y- thema
edematous-swollen
adenopathy- swollen nodes- aden/o- pathy
ecchymosis- bruise/bleeding under skin
pharyngitis- sore throat- pharyng- itis
3/6
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0
portage
learning BIO
103 medical
terminology
Module 1-7
Case Study
latest complete
test
Downloaded by: troysbebay | Want to earn $1.236
Distribution of this document is illegal extra per year?
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Module 1 Case Study_
Medical Terminology
Score for this quiz: 28 out of 30
Submitted Dec 30, 2022 at 8:10am
This attempt took 813 minutes.
Below is a SOAP (Subjective, Objective, Assessment, Plan) note
entered into a pediatric chart. Review carefully and then answer the
following questions.
Subjective:
Ben Smith is a 10-year-old male who presents for a sick visit at the
pediatric office accompanied by his mother. He complains of a fever, sore
throat, and general malaise for the past three days. His appetite has been
poor, and he has had pain with swallowing. He has had occasional
nausea with vomiting. His temperature has been fluctuating around
101.1°F. There has been a mild headache. He has not had any cough or
rhinorrhea. He denies any shortness of breath, diarrhea, abdominal pain,
or painful urination. Several children in his 5th-grade class have also been
sick in the past few weeks.
Objective:
Vital signs:
Temperature: 99°F.
Heart Rate: 115 beats per minute.
Respiratory Rate: 15 breaths per minute.
1/6
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Blood Pressure 110/76.
Oxygen saturation: 100% on room air
General: Well-nourished; awake and alert; oriented to place, person,
and time.
HEENT
Head: No sinus tenderness, normocephalic, atraumatic
Ears: Tympanic membrane intact; no erythema
Eyes: Pupils equal, round, and reactive to light, Conjunctiva
without erythema
Nose: Mucous membranes intact, without congestion
Throat: Erythematous and edematous pharynx and soft palate,
tonsils swollen with white exudate bilaterally, anterior cervical
adenopathy that is tender to touch
Respiratory: Normal breath sounds, no coughing observed
Heart: Normal sinus rhythm, no murmurs
Abdomen: Nontender to palpation, nondistended, normal bowel
sounds
Extremities: Upper and lower extremity joints without tenderness and
with normal range of motion, no edema noted
Neurological: Awake, alert, oriented to time, place, and person.
Without signs of distress.
Skin: Without rashes or ecchymosis.
Assessment:
Acute group A streptococcal pharyngitis without signs of rheumatic fever
Plan:
1. Support symptoms with anti-inflammatory medications such as
ibuprofen 100mg/mL 12.5 mL by mouth every 6 hours as needed for
fever and general pain.
2. Pt with a score of 5 using the Centor criteria. Ordered rapid strep test
in office. Rapid test was positive for streptococcal antigen. No need to
proceed with throat culture.
3. Called prescription of amoxicillin 500mg po q12h for 10 days into the
patient’s pharmacy.
4. Instructed patient to remain home from school until fever-free for 24
hours.
2/6
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5. Instructed to call the office for worsening, persistent fever or chills,new
rash, or other concerns.
Question 1 pts
Define the medical terms seen in italics above. Identify the Latin and
Greek word elements of the words if present.
Your Answer:
malaise- sickness/unwellness
rhinorrhea- runny nose- rhin/o/, rrhea
normocephalic- normal head size- norm/o-cephal
atraumatic- non-traumatic, no injury, a/
Conjunctiva- lining of eyelid
erythema- reddened- er/y- thema
edematous-swollen
adenopathy- swollen nodes- aden/o- pathy
ecchymosis- bruise/bleeding under skin
pharyngitis- sore throat- pharyng- itis
3/6
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