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DB 4 PEDS

Week 4 Discussion Part I

Table 1

Innocent versus Pathologic Murmur

Auscultatory Findings- Innocent versus Pathologic Murmur

Innocent Murmur – list 4 and describe the auscultatory findings

Pathologic Murmur – list 4 and describe the auscultatory findings

Table 2

Pediatric Cardiac Conditions

Complete the table.

Cardiac Condition

Description

Clinical Findings

Treatment/
Management

Atrial Septal Defect

Ventricular Septal Defect

Tetralogy of Fallot

Coarctation of the Aorta

Transposition of the Great Arteries

Table 3

Differential Diagnoses for vomiting

Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.

Differential

Description

Clinical Findings/Presentation

Management

1.

2.

3.

4.

Table 4

Do Not Miss GI Conditions

Fill in the following

Condition

Description

Clinical Features/Presentation

Management

Foreign Body Ingestion

Appendicitis

Intussusception

Hirschsprung Disease

Pyloric Stenosis


Table 5

Enuresis

List 4 differential diagnoses for enuresis.

Differentials

Description

Clinical Findings/Presentation

Management

1.

2.

3.

4.

Table 6

GU Anomalies

Complete the requested information related to Common Genitourinary Anomalies

Brief Pathyphysiology

Description

Clinical Features

Management

Hypospadias

Epispadias

Hydrocele

Cryptorchidism

Testicular Torsion


Table 7

Respiratory Conditions in Children

Complete the information.

Condition

Causative Agents

Clinical Findings

Treatment/Management

URI “common cold”

Allergic rhinitis

Rhinosinusitis

Bronchiolitis

RSV

Pneumonia

Asthma

Table 8

Differential Diagnoses for Pediatric Cough

List the top 3 differential diagnoses for cc: “cough” in pediatric patients

Differentials

Description

Clinical Findings

Treatment/Management

1.

2.

3.

Table 9

National Asthma Education and Prevention Program Expert Panel Report (EPR3)

Complete the information below.

Asthma Classification and Step Before Treatment

Symptoms

Nighttime Symptoms

Lung Function

Step 1: Intermittent

Step 2: Mild Persistent

Step 3: Moderate Persistent

Step 4: Severe Persistent

PART II

Select one of the following four case scenarios. Identify the prompt in the subject line of your post, for example, Case Scenario 1 – Keisha

Complete all Part II elements of the discussion: 

· Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives.

· Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

· In your peer replies, please reply to at least two peers who chose a different case scenario – other than the one you selected. For example, if you selected Case Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer who selected Case Scenario 3,4,5, or 6.

· Be prepared to answer additional questions relating to a secondary diagnosis or consideration posed by faculty.

Case Scenario 2 : Mr. Jones has brought in his 3-year-old daughter Clara to be seen for vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. She weighs 15kg. This morning she vomited her breakfast of pancakes and sausage.

· What more does the APRN need to know about Clara’s symptoms?

· What should the APRN look for in the physical examination?

· What are the signs and symptoms of dehydration?

· What are 3 differentials the APRN should consider?

· What is the calculation for pediatric volume replacement?

· What type of anticipatory guidance should the APRN give Clara’s father?

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