You are examining a 5-year-old child who has had recurrent f…
You are examining a 5-year-old child who has had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows thrombocytopenia, anemia, and an elevated white cell blood count. Based on findings, you are concerned for:
Read DetailsJack S., age 17 years presents to the clinic with complaint…
Jack S., age 17 years presents to the clinic with complaint of persistent sore throat, fever and fatigue. He was seen 1 week ago for headache and nasal congestion and mild sore throat treated with comfort-only therapy. He has been taking OTC ibuprofen. Nasal congestion has subsided, but continues to experience sore throat and fever. He stayed home from school today due to fever and fatigue. Mom reports his appetite is reduced and he has been lying around at home with little energy. Vital Signs are all within normal limits and he is at the 50% for Ht, Wt, BMI. He is afebrile in clinic. Positive findings on exam include: HEENT: Eyes clear; Ears: TMs dull gray with light reflex and bony landmarks; Nose: clear without discharge, erythema or edema of turbinates; No tenderness to palpation over sinuses. OP: oral mucosa pink and moist without lesions; tonsils+3 with erythema, scant exudate. Lymph: Tender enlarged (
Read DetailsJordan M. age 1 1/2 months presents with 2 day history of fe…
Jordan M. age 1 1/2 months presents with 2 day history of fever up to 39.0 C. In clinic His temperature is 100.2 tympanic. He has been fussy with disrupted sleep and decreased feeding. Your exam reveals fussy infant with nonspecific findings. You elect to do sepsis work up. At Jordon’s age, the sepsis work up would include, at a minimum,:
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