Case Study: Diagnosis of Roseola in a 2-Year-Old Child - Gemma Jones, Exams of Nursing

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ihuman case Study Gemma Jones 2yrs Old CC:

Abdomen Rash

The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 1hr 18min 17sec Status: Submitted Case Section Status Your Score Time spent Performance Details Total Score 97% History Done 100% (^) 10min 28sec 17 questionsasked, 16 correct, 0 missed relative to the case's list Physical exams Done 94% 17min 8sec 36 exams performed, 12 correct, 1 partially correct, 0 missed relative to the case's list Key findings organization Done 54sec 4 findings listed; 5 listed by the case Problem statement Done 3min 55sec 70 words long; the case's was 76 words Differentials Done 80% 10sec 5 items^ in^ the^ DDx,^4 correct,^1 missed relative to the case's list Differentials ranking Done (^) 100% (lead/alt score) 0% (must not miss score) 39sec Tests Done 100% 3min 2sec 2 tests ordered, 0 correct, 0 missed relative to the case's list Diagnosis Done 100% 24sec Management plan Done (^) 12min 22sec 210 words long; the case's was 37 words Attempt: 2490513 Report generated on 9/9/2022, 1:02:

PM

America/Denver

HistoryNotecard by Jessica Szymanski on case Gemma Jones

Use this worksheet to organize your thoughts before developing a differential diagnosis list.

1. Indicate key symptoms ( Sx ) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning.
2. Characterize the attributesof each symptom using "OLDCARTS". Capture the details in the appropriate column and row.
3. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = Sx = Sx = Sx = Sx = Sx = Onset Location Duration Characteristics Aggravating Relieving Timing / Treatments Severity Attempt: 2490513 Report generated on 9/9/2022, 1:02: PM America/Denver

Problem Statement by Jessica Szymanski on case Gemma Jones

Gemma Jones is a 2yo female that presents with a new onset rash of her abdomen that has worsened spreadingto all four extremities. On assessnet there is a maculopapular pink rash on the abdomen and extremities. She has no other significant medical history. She recently experienced a nonproductive cough, runny nose, and fever 3 days ago; the fever resolved yesterday. Intake and output have been normal per mother's report. Attempt: 2490513 Report generated on 9/9/2022, 1:02: PM America/Denver

Management Plan by Jessica Szymanski on case Gemma Jones

Subjective: Complains of cough, runny nose, fever and new onset rash. Fever started 3 days ago and stopped last evening. Cough and rhinorrhea also started 3 days ago. Objective: Presents with rhinorrhea and acute cough. Skin is warm and dry but a maculopapular pink rash on the abdomen and extremities is present. No fever at this time. Diagnostics: No testing is necessary. Can test IgM and obtain chest xray for URI but none are necessary. Assessment: The presentation of cold symptoms and fever before the rash appeared supports the diagnosis of roseola. The patient had a cough and runny nose along with fever that has subdued and was followed by a rash, therefor roseola is the leading diagnosis. Plan: Reassurance that rash will resolve on its own in a few days, promote rest and hydration and expect a full recovery in approximately 1 week. Education: It may take 5 to 15 days for a child to have symptoms of roseola after being exposed to the virus. Once the fever is gone for 24 hours, the disease is no longer contagious. Even if the rash is still present, your child can return to child care or school. Children exposed to your child earlier may come down with roseola in 9–10 days. Attempt: 2490513 Report generated on 9/9/2022, 1:02: PM America/Denver

Electronic Health Record by Jessica Szymanski on case Gemma Jones

History of Present Illness

Category Data entered by Jessica Szymanski Reason for Encounter Rash History of present illness Presents with cough, runny nose, fever and new onset rash. Fever started 3 days ago, stopped last evening. Cough and rhinorrhea also started 3 days ago.

Past Medical History

Category Data entered by Jessica Szymanski Past Medical History None. Hospitalizations / Surgeries Born full term at 38 weeks GA with no complications. Category Data entered by Jessica Szymanski Social History Lives at home with mother and father in an apartment.

Medications

Category Data entered by Jessica Szymanski Medications PRN Tylenol

Allergies

Category Data entered by Jessica Szymanski Allergies NKA.

Preventive Health

Category Data entered by Jessica Szymanski Preventive health Has been meeting developmental milestones, growing and developing well.

Family History

Category Data entered by Jessica Szymanski Family History Mother and father healthy.

Social History

Review of Systems

Category Data entered by Jessica Szymanski General Alert, c/o fevers. Integumentary / Breast No bruising. C/O rash. HEENT / Neck No eye or ear discharge, no conjunctivitis, no recent head trauma. C/O runny nose. Cardiovascular No hx of murmur, no SOB, no hx of fainting. Respiratory No wheezing or SOB. C/O cough. Gastrointestinal No vomiting, diarrhea or constipation. Mother reports formed stools twice a day and no change in appetite. Genitourinary Wears diapers, no hx of UTIs, Has 4-5 wet diapers per day. Musculoskeletal No recent trauma, weaknessor limping. Allergic / Immunologic No allergies. Immunizations UTD. Endocrine No hx of diabetes or thyroid dysfunction. Hematologic / Lymphatic No hx of anemia. Neurologic No hx of seizures. Psychiatric Happy child.

Physical Exams

Category Data entered by Jessica Szymanski General (-) fever (-) significant weight change (-) significant appetite change Skin Warm and dry, (+) maculopapular pink rash on the abdomen and extremities HEENT / Neck (+) rhinorrhea (+) cough Cardiovascular (-) CP/pressure/discomfort (-) decrease in activity (-) SOB Chest / Respiratory (+)acute cough (-) SOB (-) wheezing (-) difficulty catching a breath (-) chronic cough (-) sputum production Abdomen Diaper stools about 2 per day Genitourinary / Rectal Diaper urine 4-5 per day Musculoskeletal / Osteopathic Structural Examination (-) recent trauma (-) weakness(-) limping Neurologic (-) hx of seizures Psychiatric Irritable Lymphatic (-) hx of anemia

Attempt: 2490513 Report generated on 9/9/2022, 1:02:15 PM America/Denver Powered by TCPDF (www.tcpdf.org)