Melissa Stewart - Pediatrics CC - Patient's mother claimed confusion.
DKA, substance use disorder, diabetes insipidus, dehydration, and DM Type 1 are all
diagnoses. Tests for these conditions include BMP, UA, Drug Tox,
...
Melissa Stewart - Pediatrics CC - Patient's mother claimed confusion.
DKA, substance use disorder, diabetes insipidus, dehydration, and DM Type 1 are all
diagnoses. Tests for these conditions include BMP, UA, Drug Tox, arterial blood gas, 1
2lead ECG, and beta-hydroxybutyric acid (BOH)
Problem Proposition: ( Demographic description – chief complaint –
Hx and PE key findings – risk factors )
Melissa Stewart, a 12-
yearold girl who has been complaining of bewilderment since the morning, was brought in by her
mother.
Only vocal commands get a response from the mute Melissa.
According to her mother, she has suddenly started to lose weight, eat more, and exhibit polyuria,
Polydipsia, as well as hazy vision.
She continues to have blurry vision and is tachypneic, tachycardic, sluggish, and confused today.
Reduced skin tugor, a delayed capillary refill, and fruity
CC: Melissa Stewart, a 12-year-old girl who has been complaining of bewilderment since the
morning, was brought in by her mother.
HPI: Only vocal commands get a response from the mute Melissa. According to her mother, she
has suddenly started to lose weight, eat more, and exhibit polyuria, polydipsia, as well as hazy
vision. She continues to have blurry vision and is tachypneic, tachycardic, sluggish, and confused
today.
Drugs: None
Non-contributory, PMH
FH: Diabetes in the maternal grandfather.
2
SH: According to the mother, the child doesn't smoke, drink, or use recreational drugs.
ROS: HPI only reveals good results.
Physique checkup
VS: SpO2 99%, T 98.6F, BP 88/56, Pulse 85, and RR 20.
Skin: Displays less skin tug.
Cardiovascular: Fingers and toes show delayed capillary refill by 3 seconds.
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