*NURSING > iHuman > Week 5 Discussion “Mia Zavarro V4.” I Human Case Study - Cardiovascular and Hematologic Disorde (All)

Week 5 Discussion “Mia Zavarro V4.” I Human Case Study - Cardiovascular and Hematologic Disorders in Children

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Week 5 Discussion “Mia Zavarro V4.” I Human Case Study - Cardiovascular and Hematologic Disorders in Children Name: Miah Age: 21 months Sex: F Height: 2' 7" Weight: 23 pounds (BMI 16.8) Tem... perature: 98.6 F (oral) Pulse: 134 bpm - regular Blood pressure: 90/58 mmHg Respiratory rate: 28 bpm SpO2: 98% on room air Chief complaint: Swollen hands and feet in a 21-month-old HPI: Miah is a 21-month-old girl who presents with a two-day history of progressive, painful, swelling in the left hand and in the right foot with dactylitis, occurring one week after a URI. She is fussy and fatigue. She now refuses to bear weight or use her hands. Physical exam is also significant for scleral icterus, splenomegaly, and a flow murmur. She has had similar but milder, self-resolving episodes in the past for which she was not seen by a doctor. As the patient is an adoptee from Haiti, no family or birth history is available. PMH None Rx Ibuprofen took one week ago as needed Allergies No Known allergies Preventive Health She has had all of her childhood and toddler checkup Immunizations: All of her immunizations including flu shot are up to date FHx She was adopted when she was a baby from Haiti, birth and family record are unknown SHx She currently goes to daycare ROS Respiratory: Lung Auscultation: left: normal right: normal Cardiac Auscultation: Murmur - early systolic Abdomen is distended Hematological Spleen enlarged and palpable 6 cm below left costal and jaundice Extremities Swollen, warmth and painful hands [Show More]

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