Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

SOAP NOTE 2 : PEDS

 complaint of knee pain x 3 days after a basketball  

Soap Note 8

CC: “Patient present to the clinic for diarrhea, persistent anal pruritus, and irritability.

HPI: HPI: A.S. is a 23-month-old Male with no significant PMH. He presented to the clinic with his mum and aunt with c/o diarrhea, persistent anal itching, and irritability for 3 days. The itchiness is worse at night and after bowel movements. The patient had an episode of diarrhea at least 6 times a day and started getting better yesterday. He moved his bowel today 2 times, but it is still loose. He was drinking fluids and eating well. Denies blood or mucus in the stool. Mum reports a history of rash, which has resolved with diaper cream. The family recently traveled to Bangladesh in May and came back in August. The patient had similar symptoms in Bangladesh and was treated for roundworm with a medication called Solas in Bangladesh. Denies cough, runny nose, fever, or vomiting—no other kids with similar symptoms.

Past Medical History: Generally healthy, up to date on vaccinations. No prior history of gastrointestinal infections.

Medications: None currently.

Allergies: No known drug allergies.

VS: T: 98.1 Wtan : 27lb 6oz Pulse: 198 Ht: 34.06″ 2’10.06″ HdCir: 19.0 HdCir cm: 48.3 Resp: 38 O2SatR: 98

General: Well nourished, alert and well developed. Weighs within the normal range. No signs of acute distress present. Mucous membranes are moist and pink.

Respiration: Chest expansion is symmetric. Clear to auscultation. Lungs are clear to auscultation bilaterally.

CV: S1 S2 is normal—regular heart rate and rhythm. No murmur, rubs and gallops appreciated.

Abdomen: Active bowel sounds, abdomen is soft and no mass palpated. No umbilicus hernia noted.

GU: Perianal area show sign rash and erythema. Firm, rounded buttocks and patent anal opening.

Diagnostic

Stool test for Ova and Parasite Pending.

Assessment and Plan

Enterobiasis

Medication

Reese Pinworm Medicine (Pyrantel Pamoate suspension) 144mg/5ml. Give 2.5 ml by mouth once, repeat in 2 weeks if symptoms continue for pinworm infection. The patient dosage calculation followed the manufacturer recommendation on weight based calculation by pounds. It is recommended that infant between the ranges of 25-35 lb takes ½ teaspoonful which is equal as 2.5ml. (Wt 27lb, 12.41kg)

Education

· Counsel parents on hygiene practices to prevent reinfection (e.g., handwashing, keeping nails trimmed).

· Take a shower or bath every day (in the morning is best).

· Counsel parent to wash patient clothes, towels, and bed linens often.

· Counsel parent to monitor patient and ensure patient is not scratching around your anus or between your legs.

· Encourage fluids and pedialyte to restore fluid and electrolyte due to diarrhea for the past few days.

· Will call the lab result and treat as necessary

· Return to clinic if pruritus get worse after treatment or bleeding through the perianal.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Advance Epidemiology of Nursing

Module 2:  Government Databases Prepare a 500 words essay explaining how government clinical databases can help researchers study different diseases. · · You must present your writing double-spaced, in a Times New Roman, Arial, or Courier New font, with a font size of 12. · Pay attention to grammar rules

Advance Epidemiology of Nursing

Module 1:  Epidemiology Triangle Each student will prepare a paper focused on answering the following guidelines: · Choose a current emerging disease or reemerging disease prevalent in your community or the larger community of the nation or world. · Complete an epidemiology triangle diagram for the chosen disease and thoroughly

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

Nursing debate assignment

  Debate Assignment: Is the Health Insurance System in the USA the Best? Debate Topic: “The U.S. health insurance system provides better access, cost efficiency, and quality of care compared to other countries.” Instructions for Your Initial Post: Choose a Position: Take a stance for the statement, arguing that the

The Disputed Election or Revolution of 1800

  Describe the historical setting surrounding the Election of 1800.  Assess what constitutional issue the election of 1800 results helped to reveal. What did Congress do to mitigate the issue?  Do you think it was necessary to pass the Twelfth Amendment? Why or why not?  Analyze why the Presidential Election

Population Health and Emerging Disease

  Create an infographic that effectively summarizes the key components of value-based care, particularly in the context of population health and emerging diseases.   The infographic should visually represent the following aspects: Use visuals such as charts, graphs, icons, and text to convey the information.  Definition and Principles of Value-Based Care: 

Anxiety and Panic disorder PPT

please see instructions Using the DSM 5 TR along with other sources please complete 3 separate PPTs for the following: 1. Generalized anxiety disorder 2. Panic disorder 3. Obsessive Compulsive Disorder Instructions Must be done for each Diagnosis/ PPT You might also want to check the DSM-5-TR Clinical Cases text

EPIDEMIOLOGIC STUDY DESIGNS

find attached the instructions As introduced in the first few weeks of this course, investigators use various epidemiological study designs to study health problems and the effects of health interventions. You have examined several study designs, including descriptive designs (in Week 2) and analytic study designs that are observational (in

RANDOMIZED TRIALS IN EPIDEMIOLOGY

use the attached info for this work RANDOMIZED TRIALS IN EPIDEMIOLOGY Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree

CASE STUDY ANALYSIS

please read the attached information carefully to understand  week 4 Week 4 Case Study Prompt (Student version) A 67-year-old man presents with progressive shortness of breath over 8 months. He  reports: • Increasing dyspnea with exertion • Dry, persistent cough • Fatigue • Decreased exercise tolerance • Unintentional 10-pound weight

Agency Synopsis

Agency Synopsis The purpose of this assignment is so that you will be able to differentiate between the healthcare policy agencies’ impact on various patient populations. 1. Identify regulatory agencies that regulate health and the health care system in the US. 2. Create a table listing at least 5 regulatory

NUR 650

NUR650 Discussions Submission Instructions: Your initial post should be at least 500 words, formatted and cited in the current APA style Provide support for your work from at least 2 academic sources less than 5 years old. Wk1 Tom’s Parents are Fighting After studying Module 1: Lecture Materials & Resources,

Preventative Care

Following the guidelines of the United States Preventive Service Taskforce (USPSTF), discuss and describe the screening recommendations for the following: Cervical cancer Breast cancer Osteoporosis Colorectal cancer Lung cancer Ovarian cancer Intimate partner violence (IPV).

patient care coordination 1

Develop infographic of a preliminary care coordination plan for a selected healthcare problem identified from the Sentinel-U Family Assessment v5. You determine which healthcare problem you will use FROM the simulation. Include physical, psychosocial, and cultural considerations for this healthcare problem. Listen to the patient simulation and select one of

Peer response

  What are your initial thoughts after reviewing the AHRQ website? What are your roles and responsibilities related to healthcare literacy? What are some practices as you can use when providing patient care as you transition to the role of APRN? How can you use the website and resources for

nursing

( Social Media for Nurses ) ( Objectives Locate, evaluate, and share nursing informatics websites, blogs, forums, or social media platforms Create social media workplace guidelines for nurses ) ( Overview Social networking (e.g., Facebook, LinkedIn); 2. Blogging ( and wikis ( 3. Microblogging (e.g., Twitter); 4. Social bookmarking or

casestudy 3

Emergency Nursing Management Activity 2050 Advanced Skills You are Nursing House Supervisor and work with the Nursing Management team at your local hospital. Your hospital is a level 2 Trauma Center and you have access to all resources that are generally acceptable for current health care practices in this environment.

NUR 650

NUR 650 SMART Goals For this assignment, you will work on setting goals for yourself using the SMART method. You will find an explanation of this method in the module that will guide you in your goal-setting process. You will list a minimum of five professional goals that you would like to accomplish during the clinical experience