Pediatrics-Polly-Pocket-iHuman-Case-Study Latest UPDATE

Polly Pocket – Pediatrics CC – Shortness of breath and back pain Diagnosis – Lymphoma, Myocarditis, Pericarditis, Tuberculosis, Pneumonia/bacterial(NOS), heartfailure/CHF Tests- Chest X-ray PA and Lateral, Chest CT, ...

Polly Pocket – Pediatrics CC – Shortness of breath and back pain Diagnosis – Lymphoma, Myocarditis, Pericarditis, Tuberculosis, Pneumonia/bacterial(NOS), heartfailure/CHF Tests- Chest X-ray PA and Lateral, Chest CT, Echocardiogram-transthoracic (TTE), 12 lead echocardiogram (ECG), Arterial blood gases (ABG), CMP/Chem13, Lymph node biopsy, Tuberculin skin test Problem Statement: ( Demographic description – chief complaint – Hx and PE key findings – risk factors ) Polly Pocket is a 18yo girl brought in by her mother with complaint of shortness of breath with accompanied back pain. She states that she has respiratory distress even at rest that has been increasing in severity over the last 2 hours and had insidiously started over 2 weeks, she reports 10/10 sharp deep back pain in midthoracic region that also started 2 weeks ago, along with this she has lost 10 pounds over the past month. PE shows L-supraclavicular lymph node 2cm enlarged with fullness above Lclavicle, Trachea seems deviated, chest inspection shows diminished respiratory rise on left side – lung auscultation shows absent breath sounds in LLL and diminished sounds in LUL. PMI is displaced towards the sternum and CVA tenderness is absent. PMH and FH are unremarkable. CC: Polly Pocket is a 18yo girl brought in by her mother with complaint of shortness of breath with accompanied back pain HPI: She states that she has respiratory distress even at rest that has been increasing in severity over the last 2 hours and had insidiously started over 2 weeks, she reports 10/10 sharp deep back pain in midthoracic region that also started 2 weeks ago, along with this she has lost 10 pounds over the past month with night sweats