A patient with low-grade fever. headache. and myalgias for the past 72 hours.
A patient who is unable to bear weight on the left foot. with swelling and bruising following a running accident.
A patient with abdominal and chest pain following a large. spicy meal.
A child with a one-inch bleeding laceration on the chin but otherwise well after falling while jumping on his bed.
Numbness in hands and feet.
Hypoactive bowel sounds.
Positive Chvostek’s sign.
PH 7.52. PCO2 54 mmHg.
PH 7.42. PCO2 40 mmHg.
PH 7.25. PCO2 25 mmHg.
PH 7.38. PCO2 36 mmHg.
Draw a blood sample for prothrombin (PT) and international normalized ratio (INR) level.
Administer vitamin K.
Draw a blood sample for type and crossmatch and request blood from the blood bank.
Cancel the surgery after the patient reports stopping the Coumadin one week previously.
Hemoglobin 10.4 g/dL.
Total cholesterol 340 mg/dL.
Total serum protein 7.0 g/dL.
Glycosylated hemoglobin A1C 5.4%.
The child has a poor chance of recovery without joint deformity.
Most children progress to adult rheumatoid arthritis.
Nonsteroidal anti-inflammatory drugs are the first choice in treatment.
Physical activity should be minimized.
The admission orders are written.
A blood culture is drawn.
A complete blood count with differential is drawn.
The parents arrive.
Possible fracture of the tibia.
Bruising of the gastrocnemius muscle.
Possible fracture of the radius.
No anatomic injury. the child wants his mother to carry him.
Regular developmental screening is important to avoid secondary developmental delays.
Cerebral palsy is caused by injury to the upper motor neurons and results in motor dysfunction. as well as possible ocular and speech difficulties.
Developmental milestones may be slightly delayed but usually will require no additional intervention.
Parent support groups are helpful for sharing strategies and managing health care issues.
Duchenne’s is an X-linked recessive disorder. so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.
Duchenne’s is an X-linked recessive disorder. so both daughters and sons have a 50% chance of developing the disease.
Each child has a 1 in 4 (25%) chance of developing the disorder.
Sons only have a 1 in 4 (25%) chance of developing the disorder.