This is a disussion post. One page to one page and a half is long enough. Please provide 3 references nothing less than that please. APA format.
Topic: Unconnected Disorders
This week we are covering many disorders that are not necessarily connected. Two symptoms that are very common in children are fever and pain. Depending on the child’s age, communication can be challenging, and you often must rely on the parent or caregiver for CC, HPI, ROS.
Consider the following:
When fever is the CC, you need to collect the following information:
What is the temp, and how was temp obtained (oral or axillary)?
What preceded the fever? When does the fever occur (afternoon, evening)?
What has helped the fever? Tylenol? How much, how often?
Any associated symptoms?
Any recent sick contacts?
Health history? Immunizations?
In addition to all routine exams on the PE, you want to make a note of sensorium. Is there nuchal rigidity? Appearance of distress?
For pain: When, where, scale of 0–10 with 10 being worst? What makes it better or worse? Radiation? Localized or general? Tenderness to palpation? Preceding events/injuries? Associated symptoms?
You would need all past medical history (e.g., if the child has had an appendectomy, you can rule out appendicitis).
The exam should be focused on the anatomical area and any connected systems (i.e., sore throat pain you would want to examine ears, sinuses, lungs, etc.).
What types and location of pain would make you particularly concerned?
Focusing on the pediatric patient, select one of the topics below and discuss the current evidence-based recommendations by leading pediatric experts and professional organizations.
Focus your discussion on guidelines for pediatric healthcare providers prescribing medications to young pediatric patients.
You are expected to present your initial topic, including, but not limited to, the following items:
Pathophysiology
Physical exam findings
Differential diagnoses and rationale
Management plan to focus on pharmacotherapy agents based upon evidence-based practice guidelines
Topics:
Precocious puberty
Pediatric obesity
Hypothyroidism
Hyperthyroidism
Growth hormone deficiency
Constitutional growth delay
Adrenal Insufficiency
Type 1 diabetes
Type 2 diabetes
Inborn errors of metabolism
Phenylketonuria
Dyslipidemia
Fever in children
Pain in children
Stages of dehydration
Management plans for dehydration
