Unit One Workbook Assignment
Chapter 2: Developmental, Congenital, and Childhood Diseases and Disorders
Assignment: For each scenario that follows, explain how and why you would schedule an appointment or suggest a referral based on the patient’s reported symptoms. Be sure to first review the “Guidelines for Patient-Screening Exercises” found on page iii in the Introduction section of your Workbook.
1. The mother of a 6-month-old infant calls the office requesting an appointment for her child. She advises that she thinks the child’s head appears swollen and that there are areas that appear to be bulging. What is your response regarding the appointment.
Symptoms: Child appears swollen & bulging
Diagnosis: How did this happen? , When did it happen? , How long has it been? , Any type of behavior change?
This could be bulging fontanel or infant soft soft.
Causes could be:
Encephalitis – 1. Swelling inflammation of the brain due to infection
Hydrocephalic-2. Buildup of fluid inside the skull
3.Increase intracranial pressure
Meningitiis-3. Infection in the membrane covering the brain.
Urgency Level: This is very serious condition because it is a 6-month-old infant and it is a head injury while be very fatal.
Appointment: I would tell the mother to go to ER ASAP and I would schedule the next available appointment for follow-up.
2. The mother of a 3-year-old boy calls to report her child had the onset of vomiting and abdominal pain during the night and is now experiencing blood in his urine. She says she just noticed a swelling on his left side toward his back. She requests and appointment. What is your response regarding the appointment?
Symptoms: Child has onset vomiting, abdominal pain at night, now experiencing blood in urine
Recently swelling on the left side toward his back