How would you evaluate and manage a pediatric patient who has a painful
swelling of the hands and feet, fatigue, or fussiness? Which diagnostic
studies would you recommend for this patient and why?
o
It’s always important to gather a full history on the patient and
complete a full physical exam. Trying to determine when it happened,
if it has happened before, if anything makes it better or worse, and if
there was anything else going on when the symptoms started will
help us as health care providers narrow down the possible reasons
for the symptoms. It’s also important to gather as much family history
as possible, as they can be passed on and be the cause of th e
problems. Evaluation would include a focused exam evaluating the
extremities for how swollen, ROM, circulation, reflexes and strength.
I would also evaluate the patient’s ears, nose and throat, as pain or
discomfort in those areas can cause fussiness in a child of Miah’s
age.
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- Summer '17
- Sickle-cell disease, MIAH
