NR 602 Week 5 iHuman Virtual Patient Encounter - Hassan Khan

  • NR 602 Week 5 iHuman Virtual Patient Encounter - Hassan Khan
  • $25.00


Institution Chamberlain
Contributor Angie

HK a 26-month-old male with past medical history of Down syndrome and s/p AV septal repair with transient CHF and global development delay presents to the clinic with mother who reports a 2-day history of abdominal pain. Per report, mother says her boyfriend admits the patient "fell from the bed during a nap” and has not been the same. Patient is often left in the care of neighbors or mom’s boyfriend while she is at works. Physical exam is positive for tachycardia, tachypnea, hypotension, and lethargy; skin is pale, cool, clammy, and slightly mottled, with toe capillary refill of 4 seconds, dental caries, and diffuse diaper rash. Hypoactive bowel sounds, abdominal distention, firm, with ecchymoses overlying the epigastrium area; tenderness on palpation, guarding, and rebound tenderness. Faint circumferential macular discoloration at wrist consistent with aging ligature marks. Negatives include fever, lung sounds CTA or head trauma noted.

 

 

Instituition / Term
Term
Institution Chamberlain
Contributor Angie
 

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