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GravesPatient Information: SG, 18 mo Female,
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i African American i
CC: Nausea, Vomiting, Diarrhea, lack of appetite.
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HPI: Patient is a Caucasian 18 mo old African American female who present to
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the clinic with her mother for N,V,D, and poor appetites x2 days. Diarrhea
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started i
2 days ago followed by N, V, and lack of appetite. Mother reports her other
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daughter has been sick with similar symptoms which have resolved after couple
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days. No similar day care illnesses reported. Diarrhea appears to be more watery,
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runny, random of moderate severity per patient’s mother. Nothing seems to make
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it better or worse and no treatment was attempted. Vomiting appears to consistent
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of milk and small amounts of “stuff she ate”. Vomiting and nausea also reported
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as moderate in severity. Pt able to keep down a small amount of Pedialyte and
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milk. Poor appetite and irritability also reported x 2days since other symptoms of
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N, V, D began. No fever and pain associated have been reported. Mother not sure
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if the child has lost weight so far. Mother also reports 4 wet diapers a day
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compared to 5-6 wet diaper a day since the symptoms began two days ago. No
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previous i
similar symptoms noted. i i
Current Medications: None
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Allergies: NKDA
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PMH: No History of major childhood illnesses. i i i i i i
No hospitalizations, surgeries, ER visits, or specialist provider visits since last well
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i visit. Diphtheria, tetanus, & acellular pertussis (DTaP: <7 yrs) DUE (4th dose)
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Developmental: patient cognitive and psychological stage appropriate to pt’s age. i i i i i i i i i
Pt uses 10-15 words.
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FMH:
4-year-old sister with previous similar symptoms – resolved in 2 days according to i i i i i i i i i i i i
This study source was
i i i i i i i i downloaded by 100000847555400 i i i i i i from CourseHero.com i i i i on i i 04-13-2023
https://www.coursehero.com/file/180750677/I-Human-Case-Samantha-Gravesdocx/
, mother i
SH:
This study source was
i i i i i i i i downloaded by 100000847555400
i i i i i i from CourseHero.com
i i i i on i i 04-13-2023
https://www.coursehero.com/file/180750677/I-Human-Case-Samantha-Gravesdocx/