NR 602 Week 6 iHuman Cases Tommy Acker and iHuman Case Angela Cortez
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$29.00
| Institution | Chamberlain |
| Contributor | Christie |
Week 6 – Tommy Acker 26 m/o M CC: Tummy ache
Problem Statement
TA is a 26-month-old M with Downs syndrome who presents with his mother with c/o abdominal pain after “falling out of bed” two days ago, one episode of emesis, and lethargy. PMH includes s/p ASD surgical repair with CHF. The mother also reports TA has been breathing more rapidly, sweating, has a poor appetite, and has diminished urine output with a dark color and strong odor. PE reveals pallor, listlessness, hypotension, tachycardia, tachypnea, grossly distended abdomen with epigastric bruising, firm to palpation with guarding, and rebound tenderness. A reducible 2cm umbilical hernia, diaper rash, and faint circumferential macular discolorations present at wrists consistent with aging ligature marks are also present on examination. A single mother raises TA with occasional help from her boyfriend and neighbors. TA is exposed to secondhand smoke. The birth father is not involved.
Week 6 – Angela Cortez 17 y/o F CC: Fatigue
Problem Statement
AC is a 17 y/o F established pt presents with c/o fatigue and lack of energy for the last 2 months. AC also reports being easily irritated, crying more often, and a decline in her school grades and a lack of interest in once pleasurable activities. AC denies any significant medical history and reports occasionally taking Ibuprofen for menstrual cramps. PE reveals a tearful adolescent with an elevated BMI, acne on her face, striae on her abdomen, and acanthosis nigricans on her neck. AC has no significant personal hx but a family hx of DM2, obesity, and HTN.
| Instituition / Term | |
| Term | Spring Session |
| Institution | Chamberlain |
| Contributor | Christie |
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