What are 5 questions you would ask the mother next?
1. How high was the temperature and how was it taken (eg, rectal, temporal, axillary, or not taken at all, just by touch)?
2. Any home meds given for fever or is the patient taking any medication OTC or prescribed?
3. How much is the patient feeding and wetting diapers daily?
4. Any recent exposure to anyone sick or does patient attend daycare?
5. How many times did the patient have diarrhea in a day and describe stool for any blood and color?
What additional signs/symptoms would alert you that this infant may need to be transferred to the ER?
-Dehydration
– Failure to Thrive
-Continuous vomiting and labs as indicated
-Any child with fever and petechiae and who appears very ill.
According to Burns ,Dunn, Brady, Starr, Blosser, & Garzon (2017) symptoms that would prompt emergency care include: a change in or new rash, duskiness, cyanosis, or mottling of the skin. Coolness of the extremities, poor feeding or vomiting, irritability, cries with positional changes, difficulty in comforting or arousing, seizure activity and bulging anterior fontanelle.
What are your top 3 differential diagnoses
1. Rotavirus
2. Acute Gastroenteritis
3. Bacterial Gastroenteritis
Rotavirus has an acute onset of fever, vomiting and watery diarrhea occur 2 to 4 day later in children <5 years old, especially those between 3 to 24 months old (Burns et al., 2017).
Reference
Burns, C. E., Burns, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Garzon, D. L. (2017). Pediatric primary care(6th ed.). St. Louis, MO: Elsevier.
Week 2 Discussion Question
Contains unread posts
Shana Henderson posted Mar 12, 2019 3:06 PMSubscribe
A 6 month old male patient presents to your clinic with his mother. The mother’s chief complaint is that the baby has had a fever and diarrhea for several days and is not nursing as much as usual. The infant is quiet and warm, lung sounds are clear, heart sounds normal. No medical history, born healthy at 39 weeks 5 days via uncomplicated vaginal delivery, he is exclusively breast fed and is up-to-date on his vaccinations.
5 questions to you would ask the mother?
1. How high was the temperature and what have you been giving to treat the temperature?
2. Anyone else in the family sick?
3. Does the child attend daycare?
4. How many episodes of diarrhea does the child have per day? Is there any blood in the diarrhea?
5. How many wet diapers per day are you changing?
What additional signs/symptoms would alert you that this infant may need to be transferred to the ED?
Additional signs and symptoms that would alert me that the infant may need to be transferred to the ED would include a high fever >39C, the infant is lethargic or difficult to arouse, the infant is not producing any tears/dry mucus membranes, persistent vomiting, tachycardia, increased or decreased respirations, decreased urine output, poor muscle tone, delayed capillary refill, pale cool skin, irritability, sunken eyes and sunken fontanelles.
Top 3 differential diagnosis:
1. Viral gastroenteritis
2. Bacterial gastroenteritis
3. Parasitic gastroenteritis
Gastroenteritis in children is a major cause of morbidity in the United States (Churgay, C., & Aftab, Z., 2012). It is defined as the onset of diarrhea in the absence of chronic disease, with or without fever or pain. It is common in children under the age of 5. The rotavirus is the number one cause of diarrhea and hospitalization in young children. After rotavirus, bacteria such as salmonella and shigella are also responsible for acute gastroenteritis in children under 5 years of age. A small percentage of gastroenteritis are caused by parasites such as Giardia intestinalis and Cryptosporidium. It is important that children who are suffering from acute diarrhea be treated as soon as possible to prevent dehydration. Oral rehydration should be the initial treatment if the child is mildly dehydrated. If oral hydration can be tolerated, commercially prepared oral hydration would be appropriate, as long as the child is not vomiting. The caregiver should start out by giving small amounts of liquid then increase as the child tolerates it. In cases where the child has severe dehydration, the infant should be taken to the ER where intravenous fluids can be administered and the child can be monitored for hemodynamic stability (Cochran, W., 2017). Prevention of gastroenteritis starts with proper hand washing. It is important to teach children and caregivers how to properly wash their hands and inform them to avoid improperly stored food as well as contaminated water.
Reference:
Gastroenteritis in Children – Children’s Health Issues. (n.d.). Retrieved from https://www.merckmanuals.com/home/children-s-health-issues/digestive-disorders-in-children/gastroenteritis-in-children
Gastroenteritis in Children: Part 1. Diagnosis. (n.d.). Retrieved from https://www.aafp.org/afp/20
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Our Services
Ace Writing Center has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.
Essays
At Ace Writing Center, Nowadays, students normally have extremely busy schedules. You will note that some of them have to take on some evening or weekend jobs in order to get some income that can help them to sustain in college or in the university. This can deny them a chance to write all the essays given. Others usually get bombarded with a lot of work by their lecturers. This can still delay such students from working on all their essays. However, some of them usually try to work on all these essays but end up delivering their work late. This can prevent them from graduating since most lecturers are strict on deadlines. If you want to write a business essay, the wise way is to hire an outstanding essay writing service like us, so that you can get the best results. If you are keen, you will note that many companies usually overcharge their customers. Some of them are there only to make money. And in reality, they really don’t care to build a long term commitment with students. You should not choose such companies. You should take your time and choose a reliable company to work with. Ace Writing Center is the ultimate solution for you. We have been offering our writing service for more than 7 years. This is a clear indication that you will get quality essay writing service. We have a wide range of writers who can work on any business essay that you might have. We believe in doing extensive research so that we can provide quality work to all our clients. .
Admissions
Admission and Business Papers
Have you ever had to write an admission essay for college? The majority of students face the same issues when applying to a university or college and many in such situations decide they need professional help to cope with this matter. They get in a situation when the deadline keeps coming closer but lack motivation to start because they are just not sure if their writing skills are strong enough. We have a solution for you! Ace Writing Center is the best admission essay writing service with a large professional team and years of experience in providing high-quality papers to students of all levels and faculties. The mission of our team is to help students make their dreams of entering a good college come true and that’s what we offer!.
Editing
Editing and Proofreading
Sometimes all the words for your paper just flow out of your mind and into your fingers. You type quickly at your keyboard and there they are, your beautiful words right there on the screen. But you have no idea how to polish it up. You may be wishing there was a paper writing service that offered this type of writing service. Look no more! Here at Ace Writing Center, we offer you an editing and proofreading option that you can't find anywhere else..
Coursework
College Essay Writing
In case you are familiar Ace Writing Center, you know the way to distinguish a better company from a cheap one exactly. First of all, poor service website does not have a sufficient support. We think support team is an essential part of success; it has to answer all clients’ questions and be a connecting link between clients and their writers. On our web-service you will get answers about anything you need and your writer will receive all your instructions, assignments and requirements exactly and swiftly. A writing service that we run has got a flexible pricing system that will save you from senseless wastes and many bonus systems that let you sparing money for something important for you.
