Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Focused cough assessment

04/01/2021 Client: saad24vbs Deadline: 2 Day

Focused Exam: Cough Results | Turned In Advanced Physical Assessment - March 2020, advanced_physical_assessment__td8__031720__sect1


Return to Assignment (/assignments/313480/)


Documentation / Electronic Health Record


Document: Provider Notes


Student Documentation Model Documentation


Subjective


Dany is a 8 year old hispanic boy, brought into clinic by his grandmother. He is able to answer the questions independently and maintains eye contact. He reports a gurgly watery cough for the last 4-5 days. His throat is hurting with the cough, and is feeling tired. Difficult sleeping due to the cough. His mother gave him a "purple medicine" this morning, for the cough, although he doesn't know the name of it. It has helped, but then his cough presents itself again. He has c/o right ear pain, that started yesterday. He has had hx of ear infections when he was 2 yo. He denies fever or chills, or watery eyes but states he gets the "cold" frequently. Denies chest pain or difficult breathing No allergies to meds or pollen Immunizations: updated PMHx; ear infections at childhood Surgical hx: none Social hx: Lives with parents, grandmother assists with care, when parents are at work. does not smoke, exposed to 2nd hand smoke from his Papi. Washes hands before eating or after restroom. No family history of asthma or allergies.


Danny reports a cough lasting four to five days. He describes the cough as “watery and gurgly.” He reports the cough is worse at n and keeps him up. He reports general fatigue due to lack of slee He reports pain in his right ear. He is experiencing mild soreness his throat. He reports his mother treated his cough symptoms wi over-the-counter medicine, but it was only temporarily effective. reports frequent cold and runny nose, and he states that he had frequent ear infections as a child. He reports a history of pneumo in the past year. He reports normal bowel movements. He denies fever, headache, dizziness, trouble swallowing, nosebleed, phleg or sputum, chest pain, trouble breathing and abdominal pain. He denies cough aggravation with activity.


Objective


Daniel appears slightly tired, and has been coughing throughout the exam Vital signs stable Spirometer: FEV1: 3.15L FVC 3.91L/ 80.5% Head: Cervical lymph nodes enlarged and tender on right side; Sinus: no tenderness on frontal or maxillary eyes: pink in color, no discharge Ears: right ear redness and inflammed: no d/c nose: clear watery phlem, no odor Throat: oropharynix: cobberstone, redness with postnasal drip Lungs: CTA bilaterally: Breath sounds: clear bilaterally anterior and posterior. bronchophony: negative Chest: S1 and S2 audible, no murmurs or abnormal heart sounds


• General Survey: Fatigued appearing young boy seated on nurs station bench. Appears stable. • HEENT: Mucus membranes are moist, clear nasal discharge. Redness, cobblestoning in the back of throat. Eyes are dull in appearance, pink conjunctiva. Right Tympanic membrane is red inflamed. Right cervical lymph node enlarged with reported tenderness. • Cardiovascular: S1, S2, no murmurs, gallops or rubs. • Respiratory: Respiratory rate increased, but no acute distress. A to speak in full sentences. Breath sounds clear to auscultation. Negative bronchophony. Chest wall resonant to percussion. Expected fremitus, equal bilaterally. Spirometry: FEV1: 3.15 L, FV 3.91L (FEV1/FVC: 80.5%)


Your Results Lab Pass (/assignment_attempts/6699430/lab_pass.pd


Overview


Transcript


Subjective Data Collection


Objective Data Collection


Education & Empathy


Documentation


Document: Vitals Document: Provider Notes


https://aspen.shadowhealth.com/assignments/313480/

https://aspen.shadowhealth.com/assignment_attempts/6699430/lab_pass.pdf

Student Documentation Model Documentation


Assessment


Differential diagnosis: 1. flu-like syndrome or cold 2. strep throat 3. Allergies 4. Allergic rhinitis


My differentials include cold, strep throat, rhinitis, allergies and asthma based on abnormal findings affecting the ears, upper respiratory tract and lymphatic region.


Plan


Discuss hand hygiene and hygiene ettiquitte when coughing: cough in elbows, and hand hygiene. Strep culture Cough medication to help sleep at night and suppress cough Antihistamine to dry up secretions Encourage fluid intake, avoid dairy products that can make cough worse: phlem may get thicker Refer for allergy testing if antihistamine did not work Educate warning signs for immediate attention like difficult breathing, fever, chills, or cough worsening. Follow up in a week or telephone appt in 3 days to follwo up on progress Educate the family the importance of hand hygiene


Danny should be referred for an allergy test to rule out allergies a well as a lung function test to rule out asthma. He should receive strep culture to rule out strep throat. I recommend antitussive treatment at night to help with his sleep in addition to bed rest.


Comments


If your instructor provides individual feedback on this assignment, it will appear here.


© Shadow Health 2012 - 2020 (800) 860-3241 | Help Desk (https://support.shadowhealth.com/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents


(https://www.shadowhealth.com/patents)


®


https://support.shadowhealth.com/

https://aspen.shadowhealth.com/static/terms_of_service

https://aspen.shadowhealth.com/static/privacy_policy

https://www.shadowhealth.com/patents

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

University Coursework Help
Helping Hand
Top Essay Tutor
Writer Writer Name Offer Chat
University Coursework Help

ONLINE

University Coursework Help

Hi dear, I am ready to do your homework in a reasonable price.

$112 Chat With Writer
Helping Hand

ONLINE

Helping Hand

I am an Academic writer with 10 years of experience. As an Academic writer, my aim is to generate unique content without Plagiarism as per the client’s requirements.

$110 Chat With Writer
Top Essay Tutor

ONLINE

Top Essay Tutor

I have more than 12 years of experience in managing online classes, exams, and quizzes on different websites like; Connect, McGraw-Hill, and Blackboard. I always provide a guarantee to my clients for their grades.

$115 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Mcgraw hill backpack marketing simulation how to win - James hardie easylap installation - Fate vs free will elizabethan times - Fair is foul and foul is fair literary technique - Forum: Chapter 9: Discussion - Financial reporting financial statement analysis and valuation edition - Year 11 physics syllabus - Advantage of k map - Understanding healthcare management jones and bartlett publishers - Bf skinner child development theory - How you put people together affects? - Volume of parallelepiped determinant - Week 4 Art - Psychotherapy With Individuals - Cus 510 4 - What is the homozygous dominant genotype for type of hairline - 9 competencies of social work - Follett the giving of orders - National income model in mathematical economics - Information Governance week -4 -2 - Powerpoint - Taking the lead lln - Discussion question - Integrity 640d3,2 - Writting 2 - Musical instruments in bharatanatyam - Big gems public health examples - Fantastic mr fox excerpt - Discussion - Safety management manual smm doc 9859 - During which geologic time period was florida not below sea level? - What does corresponding terms mean - Through what potential difference must an electron be accelerated - Apa 7 referencing la trobe - Why you should donate blood persuasive speech outline - Lean Model Business Idea - International cranberry uncooperative is a competitor - Which part is primarily responsible for conducting foreign relations - 3-4 paragraphs discussion for Business - County farms to let - Vivid seats luke bryan hamilton - Class One: Part Two - Unsolved mysteries in physics - Components of observational learning - Suppose the book printing industry is competitive - A puzzle with many pieces development of the periodic table - Financial and managerial accounting chapter 8 solutions - BUS-FP3050 Communication, Ethics, and a Command Decision - Aspen capital cost estimator download - Types of vernier caliper - Reflection paper - Inputs strategic plans target elements of change and outputs - How to become a sapper - Ged math answers - Financial Statement Analysis - Infrastruxure central default password - HCA/370Organizational Behavior - Smarter Decision Making through Psychology - Fiddler on the roof monologue hodel - Amc assignment cover sheet - Sins against the 3rd commandment catholic - Musical instruments with n - Saudis expand regional power as others falter summary - Peter johnston police scanner - Best Love Vashikaran Specialist Molvi Ji+91-9829644411 - Presetation topic "Gay Marriage" - Chemistry lewis dot structure practice answer key - Information Technology Project Management - Abc sells 400 shares of its $23 par common stock for $27. the entry would entail credit(s) to - Mini hacksaw powered by beam engine ppt - Berkshire instruments case study answers - Taylor series for a function of two variables - Humpty dumpty easter egg red tulip - Speech on the importance of eating breakfast - Emotional sobriety worksheets pdf - What does ponyboy mean - Type 2 coordination chart for motors - The latehomecomer guiding questions and answers - How to sketch a histogram - Mk k545whi data socket module rj45 - Molecular mass of benzene - Conjunct or disjunct melody - Group project - Foundations of christian thought cosgrove - Visual merchandising in retail ppt - Pelican paper inc and timberland forest - Lewis dot structure for nh4 1 - Glen waverley secondary college uniform - Ashford university english proficiency exam answers - Human experiences in billy elliot - Uber core competencies - From the part 1 standardization data calculate the molarity - Servant leadership vs followership army - University of kent reading week - Bede island building dmu - Colorbond custom orb thickness - Showdown in a paris theater answer key - Www online classroom com au year5geography - Professional thesis writing service - A statement of stockholders' equity is normally prepared when