NR 602 Week 5 iHuman Virtual Patient Encounter - Grady Harris

  • NR 602 Week 5 iHuman Virtual Patient Encounter - Grady Harris
  • $22.00


Institution Chamberlain
Contributor Taylor Hill

GH, a 2 y/o A.A male with a hx of Down Syndrome, ASD, and ASD repair presents with stomach pain x 2 days, crying, withdrawn, bruise on his stomach, one episode of vomiting, rapid breathing, lack of appetite, and decreased urinary output which his urine is a dark-colored with a strong odor and decreased bowel movements. The mother denies head trauma but acknowledged that the child is not acting like himself. PEX reveals poor eye contact, skin is pale, cool, clammy, and mottled; pulse-160; strength: weak, resp. 50, bp: 68/40 bilaterally; hypotensive; circumferential macular discoloration @ wrist with aging ligature marks, ecchymosis 10cm overlying epigastrium- oval shaped, distended abd. with tenderness and rebound to palpation, 2cm umbilical hernia, neg. tympany and shuffling dullness. Has not received the last immunizations for his age.

 

Instituition / Term
Term
Institution Chamberlain
Contributor Taylor Hill
 

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