NR 602 Week 5 iHuman Virtual Patient Encounter - Hassan Khan

  • NR 602 Week 5 iHuman Virtual Patient Encounter - Hassan Khan
  • $25.00


Institution Chamberlain
Contributor Maureen

Abdominal Pain

Hassan is a 24-month-old male brought into the ofÏce by his mother with complaints of abdominal pain x 2 days after falling off the bed during a nap while under the care of her boyfriend. He has a history of Downs syndrome, ASD repair with transient CHF, and global developmental delay. Physical exam reveals tachycardia, tachypnea, hypotension, and lethargy. Skin is cool, clammy, pale, slightly mottled, toe capillary refill 4 seconds, dental carries, and diffuse diaper rash. Bowel sounds are hypoactive, abdomen is distended, and firm with ecchymoses overlying the epigastrium; tenderness on palpitation, guarding and rebound tenderness. Wrists have faint circumferential macular discoloration consistent with aging ligature marks. Pt is afebrile, lungs sounds CTA, no head trauma. Mother states Hassan is often watched by her neighbor and boyfriend while she works.

 

 

Instituition / Term
Term
Institution Chamberlain
Contributor Maureen
 

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