IHUMAN CASE STUDY: CARDIOVASCULAR AND HEMATOLOGIC DISORDERS IN CHILDREN – MIA ZAVAR

IHUMAN CASE STUDY: CARDIOVASCULAR AND
HEMATOLOGIC DISORDERS IN CHILDREN – MIA ZAVAR



PART 1: PATIENT BIO DATA & INITIAL DATA GATHERING

Category Details

Name Mia Zavarro

Age 8 years old

Gender Female

Race/Ethnicity Adopted from Haiti (Haitian descent)

Date of Birth [Will be specified in case]

Date of Visit [Current date]

Source Adoptive mother (primary historian)

Reliability Mother is reliable, concerned, and provides clear histo

Allergies No Known Drug Allergies (NKDA)


PART 2: PAST MEDICAL HISTORY (PMH)

,Birth History
 Prenatal Care: Unknown (adopted from Haiti)
 Gestational Age at Birth: Unknown
 Birth Weight: Unknown
 Delivery Type: Unknown
 Perinatal Complications: Unknown
Childhood Illnesses
 Previous Episodes: Mother reports similar but less
severe episodes of hand/foot swelling in the past that
resolved spontaneously without medical intervention
 Recent Illness: "Cold" symptoms 1 week ago (upper
respiratory infection)
 Hospitalizations: None prior to this presentation
 Emergency Room Visits: None
Immunization Status
 Vaccinations: Unknown status (adopted from Haiti;
records may be incomplete)
 Key Concern: Likely incomplete or unknown vaccination
history, increasing infection risk
Developmental History
 Milestones: Mother reports age-appropriate
development (sitting, standing, walking with assistance,
babbling/speaking few words)

,  Current Function: Fussiness and decreased activity due
to current illness


PART 3: PAST SURGICAL HISTORY (PSH)

Surgery Year Complications

None N/A N/A


PART 4: MEDICATIONS
Current Medications

Medication Dose Frequency Prescriber Purpose

For pain
[Infant PRN (last
Ibuprofen Mother and
dose] 2 days)
swelling

Medication Adherence
 Mother administering ibuprofen as needed for symptom
relief
 No prescription medications prior to this visit
OTC/Herbal Supplements
 None reported

, PART 5: FAMILY HISTORY

Relative Age/Status Medical Conditions

Biological Mother Unknown Unknown (adopted from Haiti)

Biological Father Unknown Unknown (adopted from Haiti)

Siblings Unknown Unknown

Adoptive Mother [Age] Healthy (non-biological)

Adoptive Father [Age] Healthy (non-biological)

Key Genetic Risks
 Haitian descent – Higher prevalence of sickle cell
disease
 Unknown biological family history – Cannot rule out
genetic hematologic disorders
 No family history available for:
o Sickle cell disease/trait
o Other hemoglobinopathies
o Autoimmune disorders
o Rheumatic diseases


PART 6: SOCIAL HISTORY