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? I would like to know the etiology of this symptoms by asking the right questions of when the mother noticed it, what medications she is taking? Any accompanying symptoms? Has she ever ben hospitalized? The diagnostic test that will be ordered includes Antinuclear antibody, Hemoglobin electrophoresis to test for anemia, for the swelling in both arms and legs and x -ray of the left foot and right hand will be done to check for possibilities of fracture, arthritis. The liver function test will be checked also because of the clinical presentation of the swelling I the extremities and the enlarged spleen (Ihuman, 2019). The complete blood count will be done a s well as the reticulocyte count and the lactate dehydrogenase (LDH) help in with cases of anemia. Blood culture and sensitivity that is used to test for infections when a patient presents with signs and symptoms of infection (Ihuman, 2019).
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- Summer '17