- Information
- AI Chat
Kecia Young - ihuman
Mental-Health Nursing (NR-326)
Chamberlain University
Recommended for you
Preview text
iHuman Kecia Young Kecia is a 2 year old female who presents with a pink maculopapular rash which began thismorning on the abdomen and has spread to her extremities. Mother has not seen her itching the rash and does not believe it is painful although she cannot say for certain. Three days ago shebegan with cold symptoms of non-productive cough, runny nose, and fever with Max T 103F. Mother gave Tylenol for fever which resolved last night. Her appetite is good and she is havingwet diapers and normal bowel movements. She goes to daycare but has no known sick contacts or recent travel. She is fully vaccinated and meeting milestones. She has no known allergies. 2 yo2’10” (86cm) 28 lbs (12 kg)CC: rash
NKA Only taking TylenolSymp: rash started on abdomen and spread to arms/legs today, but cold with runny nose, cough, fever 3 days ago (103 max) all 3 days ago change in appetite; 4-5 wet diapers daily; 2 stools daily.
VS: temp 37, A&Ox4, HR 75 regular, BP – L: 90/60 and R: 95/60 normotensive, RR 22regular, O2 sat 94%.
No PMHImmunizations up to date
Questions to ask MOTHER: None to ask child
Kecia does have common signs of an upper respiratory infection, however the presenceof a rash appearing after the fever. makes roseola the leading diagnosis in this case and therefore URI is an alternate diagnosis. NO TESTS ARE NEEDED
Edwards MS, Levy ML. Roseola infantum (exanthem subitum). Up ToDate. 2021.
Mullins TB, Krishamurthy K. Roseola Infantum. StatPearls [Internet]. Treasure Island(FL): StatPearls Publishing; 2021. Milestones. Pathways. 2021 F, Kawamura Y, Kozawa K, Miura H, Miyake M, Yoshikawa A, Ihira M, et al. Clinical Characteristics of Primary HHV-6B Infection in Children Visiting the EmergencyRoom. The Pediatric Infectious Disease Journal. 2019; 38(10):248-e253. Muzumdar S, Rothe MJ, Grant-Kels JM. The rash with maculopapules and fever inchildren. Clinical Dermatology. 2019; 37(2):119-128 RC, Micali GA, Schwartz RA. Roseola infantum and its causal human herpesviruses. International Journal ofDermatology. 2014; 53(4):397-403. Dyer JA. Childhood viral exanthems. Pediatric Annals. 2007; 36(1):21-29 JT, Reamy BV, Hodge J. Clinical presentations of parvovirus B19 infection. American Family Physician. 2007;75(3):373-376. Okada K, Ueda K, Kusuhara K, Miyazaki C, Tokugawa K, Hirose M, et al. Exanthemasubitum and human herpesvirus 6 infection. The Pediatric Infectious Disease Journal. 1993; 12(3):204-208.
How can I help her today? Does she have any other symptoms you would like to discuss? What treatment has she had for the cough? Is she coughing any sputum? What treatment has she had for the rash?
How many stools diaper does your child have per day? Does she have any allergies? How can I help her today? Does she have any other symptoms you would like to discuss? What treatment has she had for the cough? Is she coughing any sputum? What treatment has she had for the rash? On what part of her body did the rash start and where did it spread? Is her rash painful or itchy? What treatment has she had for the rash? Has she been having fevers?
When did the fever start? How high is the fever? Is she taking any over the counter medication? How is her appetite any recent change? Did she have any other problems two to four days .........? How many wet diapers does your child have per day? How many stools diaper does your child have per day? Does she have any allergies? How can I help her today? Does she have any other symptoms you would like to discuss?
Did she have any other problems two to four days .........? How many wet diapers does your child have per day? How many stools diaper does your child have per day? Does she have any allergies?
Kecia Young - ihuman
Course: Mental-Health Nursing (NR-326)
University: Chamberlain University
- Discover more from:
