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iHuman Case Study - Pediatrics Javier Flores 18 months CC: Cough (Latest UPDATE) new

HEAL100 Health Care — exam and revision material · Other

Updated today

Health Care exam material, 13 pages. Originally published on StudyMerit.

Pages
13
Academic year
2025/2026
Language
English

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Week 7 ihuman child Primary Care Of The Childbearing (Chamberlain University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Week 7 ihuman child Primary Care Of The Childbearing (Chamberlain University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

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3 months ago visit Reason: well child check Hx of present illness: 13-18 m milestone MOTOR: walks independently, squats to pick up a toy, stacks two objects. SENSORY: helps with getting dressed/undressed. Has regular sleep schedule. Eats an increasing variety of foods. COMMUNICATION: use 5-10 words. Combines sounds and gestures. Imitates simple words and actions. Consistently follows simple directions. Shows interest in pictures. Can ID 1-2 body parts when named. Understands 50 words. FEEDING: increases variety of coarsly chopped table foods. Holds and drinks from cup. ROS GU: wears diapers, 4-5 wet diapers a day. GI: has soft formed stools twice daily. Allg/Immun: Up to date for all immunizations until 1 yr of age. PMH: none Hosp/Surg: Gestational age at birth (37 weeks). No past hospitalizations or surgeries MEDS: none Allg: NKNA PREVE: fitness: active/runs/walks. Nutrition: breastfed until age 1. Eats solid foods; drinks from sippy cup. IMMUN: Birth: Hep B 2 Months: DTap, IPV, HIB, PCV13, Rotavirus, Hep B 4 Months: DTap, IPV, HIB, PCV13, Rotavirus 6 Months: DTap, IPV, HIB, PCV13, Rotavirus, Hep B, Influenza 1st dose 7 Months: Influenza 2nd dose 12 Months: MMR, Varicella, Hep A 1st dose 15 Months: DTap, HIB, PCV13 18 Months: Hep A 2nd dose due at this visit NOT IN THIS IHUMAN Family Hx: Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

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Father: 35 in good health. Mother: 33 in good health. Siblings: 5 y/o brother in good health but has seasonal allergies. Other familial diseases none. SOCIAL: Lives at home with mother, father and brother. THIS VISIT!!! Javier Flores 18 months 2’11 (89 cm) 28.0 lb (12.7 kg) BMI 16.1 A&Ox4 38.9 (102.0) oral temp 110 bpm, rhythm: regular, strength: Normal BP Left: 100/60, Right: 100/60, Assessment: normal, Pulse pressure: normal RR: 40 bpm, Rhythm: regular, Effort: labored Sp02: 92% Reason for encounter: Cough SKIN: Warm and dry History: 1. How can I help him today? He has been coughing and also has a fever. He seems to be getting sicker, so I thought I should have someone look at him. 2. Does he have any other symptoms or concerns we should discuss? Yes. He has a runny nose and difficulty breathing, too. He hasn’t been his usual self since this started. HPI: PEDS 3. How many wet diapers does your child make per day? About 4-5 Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

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