Pediatric Prep Essay

1518 WordsJun 24, 20127 Pages
Ashley Feeney Level III Pediatric Clinical Prep Room # 66, Unit: 8S Initials: ME Age: 4y/o Female Allergies: NKA Immunization Status: Up to date Date of Admission: 4/7/10 Admitted from: E.R @ACH Past Medical History: small apical VSD, hx of murmur Admitting Diagnosis(es)/Present Illness(es): diagnoses: Positive for Rotavirus Enteritis with dehydration and fever. Pathophysiology of Primary Medical Diagnosis: Briefly explain what is happening and relate briefly to any secondary diagnoses. Rotavirus, like other viruses that cause enteritis, primarily infects the cells of the small intestinal villi, especially those cells near the tips of the villi. Because these particular cells have a role in the digestion of carbohydrates and in the intestinal absorption of fluid and electrolytes, rotavirus infections lead to malabsorption by impaired hydrolysis of carbohydrates and excessive fluid loss from the intestine. A secretory component of the diarrhea with increased motility can further exacerbate the illness. This increased motility appears to be secondary to virus-induced functional changes at the villus epithelium.The pathologic changes to the intestinal lining may not correlate well with the clinical manifestations of the illness. In normal hosts, infections rarely occur in another organ system, although extraintestinal infections have been seen in immunocompromised hosts.The virus is shed in high titers in the stool starting before the onset of symptoms and persists for up to 10 days after symptom appearance. Signs and symptoms you will look for? Your findings? severe or bloody diarrhea > Vomiting, Diarrhea, and abdominal cramping x 2 days frequent episodes of vomiting for more than three hours temperature of 102 F (38.9 C) or higher > Decreased P.O intake, decreased

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