IHUMAN Case # 2
Perpetual Anita Aseme
IHUMAN CASE # 2: HEENT Emma Ryan
NURS5342
Advanced Health Assessment
LaMicha Hogan, APRN, MSN FNP-BC
Molly Toon, DNP, APRN, CPNP-PC Date
February 28, 2021
This study source w
...
IHUMAN Case # 2
Perpetual Anita Aseme
IHUMAN CASE # 2: HEENT Emma Ryan
NURS5342
Advanced Health Assessment
LaMicha Hogan, APRN, MSN FNP-BC
Molly Toon, DNP, APRN, CPNP-PC Date
February 28, 2021
This study source was downloaded by 100000831777157 from CourseHero.com on 07-29-2022 01:31:09 GMT -05:00
Case: 165481 Emma Ryan
Date: 02/28/2021
CC: 2 y/o M/F
Chief complaint is a short 1-2 statement or word phrase
from patient and should be listed in “quotes”
Mother’s statement
“2 days ago, she started with a runny nose and
cough”
HPI: pertinent s/s; +/- ROS/prior episodes/recent travel/ill contacts
Emma Ryan is a 2-year-old girl who presented to the clinic with her mother with
a complaint of runny nose and a cough that started 3 days ago and fever that
started 2 days ago. She tolerates milk well, but her appetite is reduced with no
change in the number of wet diapers. The mother reports she did not receive the
flu vaccine this season; she is exposed to secondhand smoking at home and
exposure to sick children at daycare.
Onset: Cough and runny nose started 3 days ago and fever for the past 2 days
Location: NA
Duration: About 3 days and symptoms have persisted
Character: Cough is unproductive
Aggravating/alleviating factors: No aggravating or alleviating noticed or
reported by mom
Related symptoms: Fussiness and reduced appetite. Crying could be an
indication of pain of discomfort (FLACC score of at least 2)
Treatments: Tylenol every 4 hours for fever
Significance: Fever in toddlers is significant and fussiness and loss of appetite is
indicative of discomfort
PMHx child/adult
illness/hospitalizations/immunizations
No hospitalizations, trauma, or other injuries
Immunizations: Mother states she has not
received flu vaccine this season but update on
all recommended vaccinations.
SurgHx type/when/why/complication
[Show More]