Michael Martinez ihuman case Key Findings and Problem statement and management plan
Michael Martinez ihuman case Key Findings and Problem statement and management plan
Case: Key Findings
Cough with yellow sputum X 2 days
Fever with a Tmax of 102
Decreased appetite
Erythema of the pharynx
Rhinorrhea for 2 days
Shortness of breath with tachypnea
Intercostal retractions
Wheezing
Exposure to second hand smoke
Localized lymphadenopathy
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Case: Problem Statement
The patient is an 18-month-old male presenting with a 2-day history of a shortness of breath, fever, and productive cough. Additional symptoms include rhinorrhea, and decreased appetite. Immunizations are up to date; developmental milestones present and appropriate for ag. Physical findings include: Temp of 102°F, tachypnea and Sa02 92%, erythema in pharynx, pulmonary wheezing and crackles. Risk factors include exposure to second hand smoke. Michael Martinez ihuman case Key Findings and Problem statement and management plan
I-HUMAN CASE STUDY: EVALUATION AND MANAGEMENT OF EENT CONDITIONS
To prepare:
Review this week’s Learning Resources and consider how to apply knowledge of EENT conditions and understanding of socio-cultural family needs in assessing, diagnosing, and treating pediatric patients.
Access i-Human Patients from this week’s Learning Resources and review the i-Human Case Study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
Identify 3–5 possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis. Michael Martinez ihuman case Key Findings and Problem statement and management plan
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with EENT conditions and their families.
Assignment:
As you interact with this week’s i-Human patient, Michael Martinez ihuman case Key Findings and Problem statement and management plan, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.
Case: Management Plan
Management/ Treatment Plan:
Due to the patient’s difficulty breathing, shortness of breath, intercostal retractions and pulse ox of 92%, he was admitted to the hospital for observation and supportive care such as:
Supplemental oxygen via nasal prong for pulse ox <90%
Vital signs Q 4 hours
IV hydration with NS for poor oral fluid intake as needed
According to the American Academy of Pediatrics clinical practice guidelines for bronchiolitis, bronchodilators should not be administered in patients with a diagnosis of bronchiolitis as they do not have an effect in changing the course of bronchiolitis. Michael Martinez ihuman case Key Findings and Problem statement and management plan
