iHuman Case of Emma Ryan, 2 year old with chief complaint of runny nose, cough, and fever.
Discussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed
questi
...
iHuman Case of Emma Ryan, 2 year old with chief complaint of runny nose, cough, and fever.
Discussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed
questions and your understanding of why they were important to collect for this case history. Use
specific references from your text to explain.
During history collection, when going through patient’s symptoms with her mother, I failed to further
investigate an ear problem, because patient is a 2 year old, she was not able to communicate and
presented with discomfort during visit. I asked about ear pain or discomfort such as the child tugging at
her ear and mother replied that there were no signs of that, but I failed to ask if there were any signs of
discharge or bleeding of the ears. The collection of these signs are clinically important because that
could lead to a better understanding initially, prior to physical exam, as bleeding discharge from the ears
can indicate and external ear canal wound, skull fracture, or traumatic perforation of the tympanic
membrane (Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127). Discharge of the purulent type can also be a
sign of infection or a foreign body in the ear (Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127). Another
question that was missed during history collection was if patient had a flu shot. I stopped at asking if
when her last immunizations were given and if they were up to date, but failed evaluate mother’s
answers further and ask about the flu vaccine. This is very important to assess and document because
children are a target popul.....................................................................continued
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