GRADY HARRIS IHUMAN CASESTUDY “TUMMY ACHE” QUESTIONS WITH SOLUTION AS PER THE MARKING
SCHEME
1. How can I help him today?
a. He isn’t himself. He’s been whining and refusing to eat. I think he’s saying that his tummy hurts .When I took a look at his tummy, it had a big bruise.
2. Does he have any other symptoms or concerns we should discuss?
a. Yeah, he vomited once last night, and he just keeps rubbing his entire stomach. He’s not his usual, cheerful self. He’s really low in energy and withdrawn. He pees less - you know, I’m not changing so many wet diapers, and his pee is dark and strong smelling. Um, oh, and you can see, he’s still kind of sweaty and clammy. He seemed to be breathing fast – maybe he’s nervous.
3. When did his abdominal pain start?
a. About 2 days ago.
4. What are the events surrounding the start of his abdominal pain?
a. My boyfriend says my baby fell from the bed during a nap and the problems started after that. I don’t really know what he hit when that happened, but all his problems started: whining, being really low energy or withdrawn, not eating, and peeing less. He even vomited once last night.
5. Does anything make the pain in his abdomen better or worse?
a. He seems to be worse when I touch him, or pick him up.
6. How many wet diapers does your child make per day?
a. Usually? I’m not always there to change them, but now there seems to be fewer. Also, his
pee smells strong and it looks dark.
7. How many stool diapers does your child have per day?
a. Normally? He usually poops once a day. I haven’t changed one in at least a day now. I’m a
bit worried about that.
8. What childhood illnesses has he had?
a. Other than all the fuss with his heart defect, he’s been a pretty healthy little guy. I mean, he’s slow - but that's what you get with Down Syndrome. Everything’s affected…his growth, he doesn’t really say many words yet, and he doesn’t pick new things up very quickly. That can be kind of frustrating, you know.
ati ati comprehensive predictor ati pharmacology proctored community health comprehensive fundamentals health care health care / nursing health care/ nursing healthcare hesi hesi rn exit leadership maternal newborn med surg medical surgical mental health nurs nursing nursing & health nutrition pediatrics pharmacology test bank tncc
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