*NURSING > A-Level Question Paper > iHUMAN Caleb Matz v5. (All)

iHUMAN Caleb Matz v5.

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ed 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 speci ... fic references from your text to explain. This provider did not ask if there was any trauma to the patient’s abdomen or if the pain in her abdomen comes and goes. Abdominal trauma can result in an enlarged spleen which can rupture and become a medical emergency. Left upper abdominal pain with tenderness, pain in left shoulder, and confusion are signs and symptoms of a ruptured spleen (Mayo Clinic, 2019). Secondly, when considering a diagnosis of sickle cell disease, intermittent abdominal pain can be caused by vaso-occlusive pain in children. Vasoocclusive pain affects many body parts including bones and joints, abdomen, and soft tissue. Children can present with dactylitis, which is bilateral painfully swollen hands and or feet (Maakaron, 2019). Discussion Question 2 Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client. During the physical exam this provider failed to exam the patients gait and stance under the neurological category. According to i-Human Patients (2019) children refusing to ambulate is a critical finding and can suggest Leukemia, bone pain, infection, heart failure, or arthritis. Leukemia can present with symptoms of fatigue, bone, and joint pain causing the child to refuse walking or bearing weight (Goolsby & Grubbs, 2015). Another error during the physical exam was not inspecting the eyes. The findings from the expert feedback showed scleral icterus, leading the provider to check bilirubin levels. Scleral icterus is yellowing of the sclera and is indicative of liver dysfunction (Andre, 2017). [Show More]

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