2 Acute Pharyngitis mycoplasma J029 Definition inflammatory syndrome of the

2 acute pharyngitis mycoplasma j029 definition

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2. Acute Pharyngitis, mycoplasma? (J02.9) Definition: inflammatory syndrome of the pharynx and/or tonsils caused by several different groups of microorganisms. 3. Acute Otitis Media (H66.90) Definition: Inflammation and Infection of the middle ear. Usually caused by a bacterium. 4. Cough (R05) Definition: A cough is a sudden and often repetitive reflex which helps to clear the breathing passages from secretions, irritants, foreign particles and microbes. A cough has 3 phases; an inhalation, a forced exhalation against the closed glottis and a violent release of air after the glottis opens. 5. Acute Upper Respiratory Infection (J06.9) Definition: An infectious process affecting the upper respiratory tract (nose, paranasal sinuses, pharynx, larynx, or trachea). Symptoms include congestion, sneezing, coughing, fever, and sore throat. Final/Primary Diagnosis (es): 1. Fever (R50.9) Definition: A fever is a body temperature that is higher than normal. It is not an illness. It is part of your body's defense against infection. Most bacteria and viruses that cause infections do well at the body's normal temperature (98.6 f). A Revised 5/9/18; 8/9/18; 10/29/18
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Pediatric SOAP Note slight fever can make it harder for them to survive. Fever also activates your body's immune system. Infections cause most fevers. 2. Acute Pharyngitis, mycoplasma? (J02.9) Definition: inflammatory syndrome of the pharynx and/or tonsils caused by several different groups of microorganisms. PLAN: 1. Medication Prescribed: Azithromycin 250 mg; Take 2 tablets by mouth for 1 day and then 1 tablet by mouth daily for 4 days. 2. Lab Tests and Diagnostic Results: CBC- wbc 7.0, lymph 9.8, mon 3.9, gran 86.3. Rapid strep-negative 3. Education & Anticipatory Guidance: Take medications as prescribed Alternate Tylenol & Motrin every 4 hours for pain and fever Take Azithromycin with food to reduce stomach symptoms Avoid smoke and allergens Use vicks and cool mist humidifier Push fluids New toothbrush in 48 hours after starting antibiotic Call or come to office for continued/worsening of condition Health Examination: Annual wellness 4. Follow up: Follow up as needed 5. Vaccinations Given: No vaccinations given at this visit. Self-Evaluation of Interaction with patient/family during clinic visit: This sick-child examination was complex as she was reserved during some of the questions. References American Association of Pediatrics (AAP). (2017). Bright futures tool and resource kit . Retrieved from - kit/Pages/default.aspx Díaz-Gordon, P., Ortega-Ortíz, M. E., Díaz-Cadavid, D., & Naranjo-García, A. S. (2018). Personality traits of parents or caregivers of children attending health check-ups at public and private healthcare entities (2013-2015). MedUNAB, 21(2), 29–44. Knight, Z. G. (2017). A proposed model of psychodynamic psychotherapy linked to Erik Erikson’s eight stages of psychosocial development. Clinical Psychology & Psychotherapy, 24 (5), 1047–1058. Revised 5/9/18; 8/9/18; 10/29/18
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Pediatric SOAP Note Revised 5/9/18; 8/9/18; 10/29/18
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Pediatric SOAP Note Revised 5/9/18; 8/9/18; 10/29/18
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  • Summer '17
  • Common cold, Upper respiratory tract infection

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