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Ask Michael Salama Your Own Question

Michael Salama
Michael Salama,
Category: Homework
Satisfied Customers: 714
Experience:  Medical director at San Miguel Medical Clinic
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Need help with this question. What data is most important in

Customer Question

Hi, need help with this question. What data is most important in this particular case and what historical data that might be gathered in a well child exam can be left out of this I'll visit
JA: Do you keep personal medical records to help track this?
Customer: No
JA: Anything else in your medical history you think the doctor should know?
Customer: Hold on let me give you the question
Submitted: 4 months ago.
Category: Homework
Customer: replied 4 months ago.
DISCUSSIONS
PBL Case Study Discussion: Assessment of a Child Part One (graded)Child with Fever and Respiratory or Skin IssuesKayla brings Riley, now 18 months in for complaint of fever and cough. The fever began 3 days ago and is of normal levels in the morning then gets as high as 100 to 101 degrees in the afternoons. Riley has also had clear rhinorrhea and in the last 24 hours he has developed a dry cough. Mother reports he is drinking, but not as well as usual. He did have a good wet diaper this morning and at least four diapers yesterday, but is not really eating much and is not playing.Medications: Mother has stopped the Zyrtec. She is giving robitussin cough and cold at 2.5 ml last night and this morning. Liquid Tylenol 7.5 ml last night and this morning.She is very concerned about the level of the fever and the fact that after 3 days he is not improving.Discussion Questions Part 1:We will begin by focusing on gathering history in an ill child.
What ‘red flags’ did you note in the historical data?
What data is most important to include in this particular case and which historical data that might be gathered on a well-child exam can be left out of this ill visit?
What are your differential diagnoses?
What parts of the physical exam will you focus on today to rule in or out your differentials?
Expert:  Michael Salama replied 4 months ago.

Hello this is Dr. Salama MD,

There are a lot of questions here and it would be easier to have a conversation about the case over the phone.

Expert:  Michael Salama replied 4 months ago.
THIS ANSWER IS LOCKED!

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