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Physical Examination Riley Vital signs: height: 85

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Physical Examination Riley Vital signs:  height...
Physical Examination Riley
Vital signs:  height: 85 centimeters, weight: 13 kilograms, B/P: 90/54, T: 99.5, HR: 118 BMP/reg., Resp: 28, reg, non-labored, SpO2: 95%
General: somewhat lethargic and cries some throughout exam. SKIN: red, diffuse rash to the torso and abdomen. HEENT: Head normocephalic atraumiatic.  Conjuctiva clear, non-icteric, but mildly injected PERRL.  Unable to complete fundoscopic exam. Tympanic membranes intact with scant clear fluid posteriorly bil and mild injection. EAC unremarkable. Pinna/tragus w/o tenderness. Nares patent, mucosa mildly injected, sl. edema in inferior and medial turbinates bil, moderate clear to milky rhinorrhea. Pharynx with mild slight erythema, tonsils 2/4 bil.  Oral exam unremarkable.  Neck supple w/mild anterior cervical lymphadenopathy bil. Thyroid small, firm, equal bil. CARDIOPULMONARY: Heart RRR w/o murmur. Lungs with mild expiratory wheeze throughout and barking cough noted occasionally throughout examination. Respirations even and unlabored.  Abdomen rounded normoactive bowel sounds throughout, soft, non-tender, no masses or organomegaly. 
 Lab: WBC 9.0, Lymph 42%, Monocytes 7%, Neutrophils 50%, Eosinophils 2%, Hgb 13%, Hct 40
Discussion Questions Part Two: After reviewing the physical exam.What were your ‘red flags’ on physical exam?
What are your primary, secondary, and differential diagnoses now?
What are your priority actions in developing a plan for a child who is ill?
* Remember to include your evidence-based reference for your rational.
As you consider fever as a symptom this child had and fever as a common symptom in children also answer:
What further diagnostic work-up should always occur with any child who presents with fever for longer than four days duration or higher than 104 without a clear cause?
What are priority differentials to confirm or exclude on a child who has a fever for longer than four days duration or higher than 104 without a clear cause?
Submitted: 1 year ago.Category: Homework
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7/20/2017
Tutor: Dr. Donna Kakonge, Retired College Professor replied 1 year ago
Dr. Donna Kakonge
Dr. Donna Kakonge, Retired College Professor
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Dear Customer,

When is your deadline in order to have the answers to these questions? I would be unable to do them tonight, however, I could have them completed at the earliest on Friday (tomorrow).

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Customer reply replied 1 year ago
sorry. I need them tonight.
Tutor: Dr. Donna Kakonge, Retired College Professor replied 1 year ago

Dear Customer,

Is there any way that you can ask for an extension until tomorrow? I can have everything completed by the end of the day on Friday.

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Customer reply replied 1 year ago
It is due tonight. I really appreciate you trying to help me. But I must complete it tonight. either with or without help
Tutor: Dr. Donna Kakonge, Retired College Professor replied 1 year ago

Dear Customer,

OK. I understand. I will do it for you tonight. Since it is a rush, I will make an offer to you. Once you accept it, I will get you perfect answers and your assignment will be completed before midnight with an A-level grade.

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