What could be another differentialdiagnosis for this case
Pleaseuse mycoplasma pneumonia for differential diagnosis
Includes/sx / how to diagnoses (diagnostic testing
Room 2: 8-year-old Rhiannon Regis is broughtto the clinic by her mother Rachel Regis for cough, which began 3 days ago.Mother reported that cough worsens at night, especiallywhen laying flat. The mother reports that the child has been exposedto other children who had been coughing when they went to see her parentsduring the weekend. Mother reported that last night, patient reported fever, malaise, body aches and productive sputum, thick greenish yellow innature.
Allergies: NKDA. No drug, food, environmental, seasonal or latex allergies
Vital Signs: T: 100.7 P 97 R 16 BP 112/80 SpO292%
Chest: Symmetric expansion. No use of accessory muscles, Respiratory Rate: 26,Swollen lymph node upon palpitation
Lung sound- wheezing and fine cracklesnoted to left lower lobe
In thisscenario, the patients chief complaint was cough that began three days ago.Cough is a common symptom that many adults and children complain of whenseeking medical care. According to Kasi & Kamerman-Kretzmer (2019), coughcan be caused by a range of minor respiratory diseases such as a common cold tomore serious infections such as bronchiectasis and pneumonia, requiring moreprompt treatment. As a provider, utilizing a systematic approach can bebeneficial in helping achieve the correct differential diagnosis for thepatient. Obtaining a detailed history and physical examination is crucial forevaluations of a child complaining of a cough (Alsubaie et al., 2015).According to Bickley (2021), when patients complain of cough, a thoroughassessment should be established including determining when the cough started,duration, alleviating and aggravating factors. An adequate history and physicalshould be obtained, especially regarding possible triggers, associatedsymptoms, environmental exposures and irritants, medications and allergyhistory (Alsubaie et al., 2015). Bickley (2021) also noted the importance ofnoting if the cough is dry or productive, and if productive, color, odor, andconsistency. Asking the patient if there is chest pain or chest discomfort,difficulty taking deep breaths, and noting if there is presence of increasedwork of breathing or abnormal breath sounds can help point the provider to theright diagnosis.
In thispatient case, the patient developed a cough that developed 3 days ago and notedworsening when laying supine. Key points in this case includes Spo2 of 92%,fever, malaise, tachypnea and swollen lymph nodes which can signify infectionand inflammation. Productive sputum that is thick yellowish green and finecrackles in left lower lobe can signify infection in the lungs such aspneumonia so imagining may be needed to obtain a more definitive diagnosis.
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more