IHUMAN Clinical Analysis Case Study With Answers (31 Solved Questions)

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IHUMAN Clinical Analysis Case Study With Answers (31 Solved Questions) - Page 1 preview image

GRADY HARRIS IHUMAN CASESTUDY“TUMMY ACHE”WITHTHESOLUTION AS PER THEMARKINGSCHEME

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Questions(tomother)-Yields100%1.HowcanIhelphimtoday?a.He isn’t himself. He’s been whining and refusing to eat. I think he’s saying that his tummy hurts.When Itookalookathistummy,ithad a big bruise.2.Doeshehaveanyothersymptomsorconcernsweshoulddiscuss?a.Yeah, he vomited once last night, and hejust 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 He’s really low in energy and withdrawn.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 somanywetdiapers,andhispeeis darkandstrong smelling.Um,oh, andyoucansee, he’s stillkindofsweatyandclammy.He seemedtobe breathing fast–maybe he’snervous.3.Whendidhisabdominalpainstart?a.About2daysago.4.Whataretheeventssurroundingthestartofhisabdominalpain?a.My boyfriend says my baby fell from the bed during a nap and the problems started after that. Idon’t really know what he hit when that happened, but all his problems started: whining, beingreallylowenergyorwithdrawn,noteating,andpeeingless.Heevenvomitedoncelastnight.5.Doesanythingmakethepaininhisabdomenbetterorworse?a.HeseemstobeworsewhenItouchhim,orpickhimup.6.Howmanywetdiapersdoesyourchildmakeperday?a.Usually? I’m not always there to change them, but now there seems to be fewer. Also, his pee smellsstronganditlooks dark.7.Howmanystooldiapersdoes yourchildhaveperday?a.Normally? He usually poops once a day. I haven’t changed one in at least a day now. I’m a bitworried aboutthat.8.Whatchildhoodillnesseshashehad?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 reallysay many words yet, and he doesn’t pick new things up very quickly. That can be kind offrustrating,youknow.9.Arehisimmunizationsuptodate?a.Yeah,theyare,exceptforthelastones.10.Ishetakinganyprescriptionmedications?a.Uh…no. Not anymore. He used to take medication for his heart problems, but since they fixed thathe doesn’tneedthem anymore.11.Ishetakinganyoverthecounterorherbalmedications?a.No,Idon’tgivehimanyofthose things.12.Hashehadpaininhisabdomenbefore?a.No, not like this. He has always eaten well and he’s never acted like this before. I can tell you thatforsure.13.Hashehadanytraumatohis abdomen?a.Maybe.Hefelloutofbed-maybethat’sthecause.14.Doeshehaveanyallergies?a.No,hedoesn’thaveallergies.15.Hashehadanysignificanttraumaticinjuriesoraccidents?

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a.He’s a real clumsy little guy. Always falling down, tripping over things, bumping into things andstuff. Doesn’t look where he’s going. I wouldn’t call that a huge, big accident though. He’s never hadanybrokenbones.16.Howishis familyandfamilylife?a.It’s just me and my three kids: my 6-month-old, my 5-year-old and my two year old. The father ofmy two-year-old is out of the equation, and never has been with us.Sometimes my boyfriend, who’sthe father of my 6-month-old, stays over. I'm a cashier at a retail shop-I mean I only graduatedfromhighschool-andso Idon'tmake thatmuchmoney andI can'tafforddaycare, somyneighbors really help me out. Sometimes my boyfriend looks after them, but he doesn't really like tobecause you know kids-they whine or cry at the same time it seems and he gets really on edgeabout it.17.Whatandwhendidhelastdrink?a.Itriedtogivehimsomewatertwohoursago.Hewon’ttakeanything.18.Canyoutellmeaboutanycurrentorpastmedicalproblemshehashad?a.He was born with Down Syndrome and when he was a baby he had a problem with his heart. Partof that was he also used to have CHF and took medications, but that got better after his operation.He is a bit slower to learn things than some other children. Buthe has the biggest heart, and he justloveseverybody.And he's otherwise healthy.Please help mybaby!19.Doeshehavediarrhea?a.No,Ihaven’tseenany.20.Isthereanybloodinhisstools orwithhisbowelmovements?a.Hehasn’tpoopedinawhile.Soactually,I’mnottotallysureaboutthat,butIdon’tthinkso.21.Howlongdoesthepaininhisabdomenlast?a.It’sbeengoingonsinceitstarted.Imean,Iwouldn’tbringhimhereifIthoughtitwasgoingaway.22.Tellmeaboutthehealthofhisgrandparents,parents,andchildren.a.I’ve got anemia. My oldest has asthma. His birth father? I know nothing about his health. Don’t caretobehonest.23.Anypreviousmedical,surgical,ordentalprocedures?a.My son had surgery to close a hold in his heart. I think they call the surgery “ASD”. I haven’t takenhimtothedentist,though.Ireallyshoulddothat.24.Doeshebruiseorbleedeasily?a.Yes, he seems to get bruises really easily. He’s also a clumsy littleguy, tripping over stuff all thetime.25.Doeshehaveanyskinproblems?a.No,uh,thatis,he’sababyyouknowsohecan getsomediaperrash,butIthinkhe’sfine.26.Hasherecentlyhadanupperrespiratoryinfection?a.Notrecently…buthealwaysseemstobecongested.27.Hashehadanyseizures?a.No,nothinglikethat.Ithinkmyboyfriendandneighborswouldhavetoldmethatforsure.28.Werethereanycomplications withhisbirth?a.YoumeanbesideshisDownSyndrome?No,thebirthitselfwasokay,Iguess.29.Hashehad anytraumatohishead?a.No. Well, I mean, I don’t truly know. He could have hit his head when he fell. I’m really worried, doyou thinkhehithisheadhardor something?30.Isheexposedtosecondhandsmoke?a.Well…uh…Iguessso.Idosmoke–andsodoesmyboyfriend–butwetrytokeep itawayfromthekidsandwedon’t smokeinthe sameroom asthem.31.Haveyounoticedasuddenchangeofbehaviororpersonalityinhim?

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