. Lin, a 5-year-11-month-boy visited the outpatient clinic of a hospital, and physicalexamination in the department shows: well physical development, conscious, steadybreathing, well mental response, no anaemic face, temperature 37.5°C. Nosuperficial lymph nodes were obviously enlarged, skin mucosa had no petechia,purpura and ecchymosis. Skin rash (-). Clear breathing sound is heard in both lungs,no rale. Rhythmic, normal heart sound is heard, but no heart murmur- Abdomen issoft, no muscle guarding, tenderness and rebound tenderness. The liver waspalpated 1.0cm below the rib with a soft texture but not palpated under the xiphoidprocess. The spleen was palpable 1.0cm below rib with a soft texture, tenderness (-)and rebounds tenderness (-). No neck stiffness, Kernig's sign (-), Brudzinski's sign(-), Babinski's sign (-). All joints had no swollen and tenderness.1. What do liver and spleen palpated 1cm below the rib mean respectively?2. What is the next stop do you think would the doctor do, according to thesituations and laboratory results obtained in the outpatient clinic?3. What are the differences in a paediatric physical examination compared to theothers? What are the main contents in the examination?

Liver palpated 1 cm below the rib means:- it can be a normal finding and also a bedside finding of…

Answered: thing, well mental response, no anaemic…

Health Safety And Nutrition F/Young Child

9th Edition

ISBN:9781305144767

Author:MAROTZ

Publisher:MAROTZ

Chapter6: Childhood Illnesses

Section: Chapter Questions

Problem A2CR

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A fever is considered to be a ____________________________. prognosis sign symptom syndrome
Lin, a 5-year-11-month boy. He had a fever 20 days ago with no-obvious trigger and reached- the highest oral temperature of 40°C, no obvious cough, runny nose, vomiting. headache. dizziness, melena, urinary frequency, urgency, and dysuria but had nose bleeding. He visited a local hospital and underwent a blood-routine test: WBC 8.7X 10°/L. N 21%. RBC 3.36X 10/L. BPC 75 X 10°L, Hb 109g/L; peripheral blood smear shows: atypical cells 29%. The local hospital suspected "infectious mononucleosis", thus intravenous ganciclovir was given and his blood was extracted to check for anti-EBV antibody simultaneously. 1.- What are the main symptoms found on this patient? According to the patient's history and- presentations, what are the probable issues that you will need to think of?
Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /l Hb 71 g/l PCV 24% Plt 8.0 X109/l WBC 1.2 X109/l Differential Segmented Neutrophils 2% Lymphocytes 94% Monocytes 4% Reticulocyte count 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…
Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /1 Hb 71 g/l 24% 8.0 X10/1 PCV Plt WBC 1.2 X109/1 Differential Segmented Neutrophils Lymphocytes Monocytes Reticulocyte count 2% 94% 4% 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and there were no malignant cells present. 1- Connect these clinical symptoms with her laboratory-screening…
Alfred a 45 year-old African-Spanish male two days ago complained of awakening with severe, 8 out of 10 left knee pain, erythema, and swelling three days prior. He the pain was “in and all around the joint area.” he denied being able to ambulate without his wife’s assistance and stayed home from work as a teacher. He thought he “overdid it” playing with his kids. The pain persisted throughout the day despite taking two OTC NSAID tablets. The pain mostly subsided by the next morning. Peter also said that he had a similar episode of sudden onset pain upon waking in the morning in his right great toe, but thought he stubbed his toe. He denies injury, fever, rash, chills or decreased range of motion. Alfred’s History Height: 5’11’’; Weight: 239 lbs History of hypertension Takes 25 mg HCTZ a day Reports drinking beer on most weekends John’s Vitals upon examination Temp: 98.8°F HR: 79 bpm BP: 136/78 Resp: 17 Question: What are the parameters to confirm that it is therefore gout?
An 18-year-old patient reports a low-grade fever, itchy and red eyes, pain in the right ear, as well as a mild cough and runny nose.
Patient X was rushed to a nearby hospital in  Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Answer the following questions:1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease.2. Explain the pathology of the disease.3. Which virus could have caused the disease? How did she contract the virus?4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?5. Enumerate laboratory methods that can be used…
Patient X was rushed to a nearby hospital in  Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Answer the following questions:4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?5. Enumerate laboratory methods that can be used to diagnose the disease or detect the virus.6. How is the disease treated and controlled/prevented?
Patient X was rushed to a nearby hospital in  Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Kindly answer all the following questions:1. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?2. Enumerate laboratory methods that can be used to diagnose the disease or detect the virus.3. How is the disease treated and controlled/prevented?
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental Kindly answer all the following questions:1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease.2. Explain the pathology of the disease.3. Which virus could have caused the disease? How did she contract the virus?
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental. Answer the following questions: (Provide reference and in-text citation) 1. Which disease is characterized by the symptoms experienced by Patient X? Correlate her medical information and travel history to the disease. 2. Explain the pathology of the disease. 3. Which virus could have caused the disease? How did she contract the virus? 4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations? 5.…
Patient X was rushed to a nearby hospital in Tuguegarao City after experiencing severe abdominal pain, persistent vomiting, marked change in temperature going from fever to hypothermia, restlessness, cold, clammy skin, and rapid, weak pulse. In addition, Patient X noted that she experienced high bouts of fever during the first week but has subsided. Small red spots or purple splotches can be seen on her skin, and she tested positive on the tourniquet test. According to her travel history, she recently visited Aklan and Negros Occidental 4. Which of her symptoms indicate early signs of shock? Which of her symptoms point to hemorrhagic manifestations?5. Enumerate laboratory methods that can be used to diagnose the disease or detect the virus.6. How is the disease treated and controlled/prevented?

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