Adam Barnes Differential diagnoses:
Diagnostic results:
1. Anal tape test: Patient A.B. is a 5-year-old African American male presents
to the office with complaints of “bottom itches”. A.B.’s mother is present
and states that “bottom itching” has been occurring for about a month since
he started the new school program. She has witnessed him itch and notices
scratch marks and redness around his “poop hole”. She states that he
started the school program and thinks he is afraid to use the restroom there
because he says he tries to hold it in until he gets home. She states she has
noticed poop stains in his underwear. He now has to wear pullups at night
from “pooing accidents and leakage”. She states his bowel habits have
changed from once daily to 1-2 times a week. He has a history of biting his
nails to the point of skin irritation. Increasing water and fiber has worked in
the past. A.B. denies abdominal or rectal pain. Vyas (2020) states that the
best way to diagnose this infection is to do a tape test with the best time to
do this is in the morning before bathing, because pinworms lay their eggs at
night.
A.
Differential Diagnoses Primary Diagnosis and ICD-10 code:
1. Enterobiasis (Pinworms):
Patient A.B. is a 5-year-old African American male presents to the office with
complaints of “bottom itches”. A.B.’s mother is present and states that
“bottom itching” has been occurring for about a month since he started the
new school program. She has witnessed him itch and notices scratch marks
and redness around his “poop hole”. She states that he started the school
program and thinks he is afraid to use the restroom there because he says
he tries to hold it in until he gets home. She states she has noticed poop
stains in his underwear. He now has to wear pullups at night from “pooing
accidents and leakage”. She states his bowel habits have changed from once
daily to 1- 2 times a week. He has a history of biting his nails to the point of
skin irritation.
Increasing water and fiber has worked in the past. A.B. denies abdominal or
rectal pain. The Centers for Disease Prevention and Control (2020) states
that people become infected, usually unknowingly, by swallowing (ingesting)
infective pinworm eggs that are on fingers, under fingernails, or on clothing,
bedding, and other contaminated objects and surfaces. Pinworms cause
itching around the anus leading to sleeping difficulties. They are common in
school-age children and are contagious. A.B. does not use appropriate hand
hygiene. Based on the information collected, A.B.’s primary diagnosis is
Enterobiasis, also known as pinworms.
ICD 10 code: B80 Enterobiasis
2. Encopresis:
Patient A.B. is a 5-year-old African American male presents to the office with
, complaints of “bottom itches”. A.B.’s mother is present and states that
“bottom itching” has been occurring for about a month since he started the
new school program. She has witnessed him itch and notices scratch marks
and redness around his “poop hole”. She
Diagnostic results:
1. Anal tape test: Patient A.B. is a 5-year-old African American male presents
to the office with complaints of “bottom itches”. A.B.’s mother is present
and states that “bottom itching” has been occurring for about a month since
he started the new school program. She has witnessed him itch and notices
scratch marks and redness around his “poop hole”. She states that he
started the school program and thinks he is afraid to use the restroom there
because he says he tries to hold it in until he gets home. She states she has
noticed poop stains in his underwear. He now has to wear pullups at night
from “pooing accidents and leakage”. She states his bowel habits have
changed from once daily to 1-2 times a week. He has a history of biting his
nails to the point of skin irritation. Increasing water and fiber has worked in
the past. A.B. denies abdominal or rectal pain. Vyas (2020) states that the
best way to diagnose this infection is to do a tape test with the best time to
do this is in the morning before bathing, because pinworms lay their eggs at
night.
A.
Differential Diagnoses Primary Diagnosis and ICD-10 code:
1. Enterobiasis (Pinworms):
Patient A.B. is a 5-year-old African American male presents to the office with
complaints of “bottom itches”. A.B.’s mother is present and states that
“bottom itching” has been occurring for about a month since he started the
new school program. She has witnessed him itch and notices scratch marks
and redness around his “poop hole”. She states that he started the school
program and thinks he is afraid to use the restroom there because he says
he tries to hold it in until he gets home. She states she has noticed poop
stains in his underwear. He now has to wear pullups at night from “pooing
accidents and leakage”. She states his bowel habits have changed from once
daily to 1- 2 times a week. He has a history of biting his nails to the point of
skin irritation.
Increasing water and fiber has worked in the past. A.B. denies abdominal or
rectal pain. The Centers for Disease Prevention and Control (2020) states
that people become infected, usually unknowingly, by swallowing (ingesting)
infective pinworm eggs that are on fingers, under fingernails, or on clothing,
bedding, and other contaminated objects and surfaces. Pinworms cause
itching around the anus leading to sleeping difficulties. They are common in
school-age children and are contagious. A.B. does not use appropriate hand
hygiene. Based on the information collected, A.B.’s primary diagnosis is
Enterobiasis, also known as pinworms.
ICD 10 code: B80 Enterobiasis
2. Encopresis:
Patient A.B. is a 5-year-old African American male presents to the office with
, complaints of “bottom itches”. A.B.’s mother is present and states that
“bottom itching” has been occurring for about a month since he started the
new school program. She has witnessed him itch and notices scratch marks
and redness around his “poop hole”. She
