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