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