Pediatrics Case Study - Pediatrics Health Assessment Patient: Ben A. Kaplinsky Jr

Ben A. Kapinsky Jr.– Pediatrics 1cc//1pmh CC – Fatiuge, shortness of breath, and cough Diagnosis – Staph Aureus CAP superinfection postinfluenza. - Influenza, pneumonia-community aquired, pulmonary embolism, asthma Tests- Chest x-ray pa and lat, ABG, CBC, influenza PCR, sputum culture, blood culture, Problem Statement: ( Demographic description – chief complaint – Hx and PE key findings – risk factors ) Ben A. Kapinsky Jr. is a 18yo man presenting with complaint of fatigue, shortness of breath, and cough. He states his symptoms started 4 days ago, he is coughing yellow-green sputum and has SOB on minimal exertion as well as chest pain near the chest wall @ R-lung 6-8th-intercoastal-space @ midaxillary-line., fever of 104 and hypoxemia (91%). PE shows dehydration, enlarged tonsils and tender-enlarged ant-cervical lymph nodes. He’s had asthma as a child and reports getting over flu-symptoms 2 weeks ago.