Jugular vein shows no distension. No bruits heard. Abdomen round but not distended, left quadrant symmetrical to the right upper and lower, no visible peristalsis or aortic pulsation noted; no bruit Bowel sounds present in all four quadrant. No guarding noted, 7 cm old scar noted on right lower quadrant secondary to appendectomy. Tympanic sound noted during percussion, Liver and spleen intact, no enlargement noted, no hepatic friction rub or splenic rub heard on auscultation.
SKIN: Warm, dry and intact. No open lesions to the bilateral lower extremities. No erythema, ecchymosis or rashes present. NEUROLOGICAL: Cranial nerves II through XII are grossly intact. No obvious motor or sensory deficits.
Good hygiene. No anxiety noted. Residents talks and answers questions appropriately and readily. View of self is positive. ROLE-REALTIONSHIP KJ lives alone, has never been married or in any relationship.
Some long term effects are breathing difficultys,deafness, heart failure, feeding problems and vision problems. The life expectancy of someone with this condition is very low because they barely make it through birth.Of the surviving children, approximately:28% die in first week, 44% die in first month, and 86-91% die in first year. Part 6: The only treatment available for surviving infants is surgery to correct physical defects. Surgery is only attempted when the infant reaches a certain age. There is no cure for Trisomy 13.The only special care needed for this disease is sleepless nights, correct alignment of the body,with having a cleft chin, a baby needs a special nipple for feeding.
c. Croup is a parainfluenza virus. d. Croup is a childhood disease. e. All of the above 6. Violent coughing is usually observed during which stage of whooping cough? a.
The term mitral valve prolapse was coined by J. Michael Criley in 1966 and gained acceptance over the other descriptor of "billowing" of the mitral valve, as first described by John Brereton Barlow. This is why it is also referred to as Barlow’s Syndrome. Mitral valve prolapse, or MVP, is defined as a valvular heart disorder in which one or both mitral valve flaps close incompletely during systole usually producing either a click or murmur and sometimes produces minor mitral regurgitation. Both the anterior and posterior leaflets are composed of three layers of tissue: the atrialis, fibrosa, and spongiosa. Patients with classic mitral valve prolapse have excess connective tissue that thickens the spongiosa and separates collagen bundles in the fibrosa.
Cri-du-chat Syndrome Cri-du-chat (cat's cry) syndrome, also known as 5p- (5p minus) syndrome, is a chromosomal condition that results when a piece of chromosome 5 is missing. Infants with this condition often have a high-pitched cry that sounds like that of a cat. The disorder is characterized by intellectual disability and delayed development, small head size (microcephaly), low birth weight, and weak muscle tone (hypotonia) in infancy. Affected individuals also have distinctive facial features, including widely set eyes (hypertelorism), low-set ears, a small jaw, and a rounded face. Some children with cri-du-chat syndrome are born with a heart defect.
However, people with NF1 frequently have learning difficulties and may develop musculoskeletal abnormalities, vascular disease, CNS tumours or malignant peripheral nerve sheath tumours, optic gliomas and brain abnormalities (Kimberly & Friedman 2010). In order to effectively diagnose the condition the National Institute of Health established a set of diagnostic criteria in which an individual must have two or more of the following criteria to be diagnosed with NF1: six or more cafe-au-lait macules, two or more neurofibromas of any type or one plexiform neurofibroma, freckling in axillary or inguinal regions, optic glioma, two or more Lisch nodules and a first degree relative with NF1 as defined by the above criteria (Kimberly & Friedman 2010, Parada
No swelling, mass or deformity. Equal ROM (range of motion). Shoulders are lowered, but no deformity, swelling, mass or contour; equal ROM. Weakness and tenderness in left elbow from recent fall, hence limited motion. Right elbow has full range of motion without swelling, mass or deformities.
John disclosed that his presenting issue is self-harm. He states that he is currently not suicidal, and has no thoughts or plans to commit suicide. He began scratching lines and words in his arms and legs at the age of 17, and describes the self-harm as progressive. At first he would scratch on his skin with a thumb tack or safety pin a few times a month, and he currently cuts, with a razor blade, at least two times per week. John also states that he was previously diagnosed with depression at the age 14 by his pediatrician in Seattle, but he has never received treatment or taken medications for depression.