CASE STUDY BSN IA Group 2 Philipp P. Young, a 3 year old boy, was… CASE STUDYBSN IA Group

CASE STUDY BSN IA Group 2 Philipp P. Young, a 3 year old boy, was… CASE STUDYBSN IA Group 2                   Philipp P. Young, a 3 year old boy, was brought to  the ER today by his parents, due to 24 hours of high-grade persistent fever(Temp of 39.5 C) not relieved by Paracetamol and irritability.                 He was the second born child.  Vital signs taken and showed a high fever of 39.4C, with tachycardia, and tachypnea. He was hooked with O2 inhalation per nasal cannula and given a stat dose of Paracetamol as ordered by the Attending Physician.                    On PE, he presented with generalized edema and non-palpable peripheral lymph nodes.  Muscle tone was normal and lungs and heart examination  was unremarkable.  Pharynx was hyperemic.  Abdominal  examination showed:  liver and spleen were within normal limits with the appearance of rash.  The patient  looks exhausted.  On the patient’s face, fissures of the lips and inflammation of the oral cavity were evident.                  Laboratory and diagnostic examinations were done, and revealed the following results:  normocytic anemia(hemoglobin 9 g/dl, RBC 3,180,000/cu mm, MCV 80 fl), neutrophilic leukocytosis(WBC 28,300/cu mm, neutrophils 69%) with a normal platelet count(200,000/cu mm).  Laboratory investigations also showed hyperbilirubinemia(2.98mg/dl), hypoalbuminemia(2.5 g/dl), hypoproteinemia(4.3 g/dl), hyponatremia(128 mEq/L), transaminase levels were normal.  C-reactive protein(CRP) confirmed the significant state of inflammation(12.39 mg/dl). Chest radiography showed a generalized increased translucency of the thorax.  The heart size was within normal limits.  Abdominal ultrasound revealed slight hepatosplenomegaly  and mild peritoneal effusion.  Right coronary artery(RCA) on echocardiography  resulted to be within the maximum limits of normality with mild hyperechogenicity of the wall.  A small pericardial effusion was detected too.                   The child continued to be febrile despite  the stat dose of Paracetamol.  Hence, the Attending Physician admitted the patient with an Admitting Diagnosis  of: T/c Kawasaki disease.                                Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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