I elaborated a hypothetical case and I want to develop some questionsaccording to this case, if you could help me how to solve this 4-YEAR-OLD GIRL WITH INTERMITTENT RECTORRHAGEA 4-year-old girl with intermittent rectal bleeding for 2 weeks, not associated with fever, malaise, abdominal pain, tenesmus, or defecation urgency . Mother reports red strands of blood on stool with little mucus and at the end of defecation. He denies constipation.PERSONAL HISTORY:Food without intolerances. Normal psychomotor development. Adequate weight gain. Atopic dermatitis treated with antihistamines and topical corticosteroids in the outbreaks.FAMILY BACKGROUND:No history of gastrointestinal diseases (ulcer, polyposis and others)Exploration clinic :Weight: 19.4 kg (P75-90) Height: 108.7 cm (P90-97 ). BEG , good coloration of skin and mucous membranes. Rhythmic AC without murmurs. AP with good bilateral ventilation without pathological sounds. Soft and depressible abdomen without masses or megalias. Erythematous perianal area, no fissures or other lesions, rectal examination with stools somewhat hard in blister, no blood in finger cot. ENT: normal.COMPLEMENTARY EXAMS:Digestion of immediate principles: normal. Coproculture and study of parasites in feces negative. Hb 13.1 Ferritin normal. Negative celiac disease markers. Fecal occult blood: positive. Due to persistence of rectal bleeding, he was referred to pediatric gastroenterology for study. In gastroenterology, an analytical control is indicated at 2 months. Due to the continuity of the clinical picture and the positivity of the occult blood confirmed at 2 months, colonoscopy is indicated.COLONOSCOPY UNDER SEDATION:Rectum and sigmoid: Mucosa without findings, normal vascular pattern. Cecum, ascending and transverse colon and ascending without pathological findings. Appendiceal orifice and competent ileocecal valve with non-inflamed edges are visualized. In the descending colon, 40 cm from the anal verge (withdrawal), a single polyp with a wide and long pedicle can be seen, with a well-defined surface, mottled raspberry -red, non-friable, occupying 1/3 of the colonic lumen. (Fig.1). Polypectomy was performed in several fragments, leaving a wide non-bleeding ulcerative niche with a whitish necrotic eschar (Fig. 2).EVOLUTION:Favorable, with complete remission of rectal bleeding. The pathological anatomy was compatible with a juvenile polyp.FINAL MEDICAL DIAGNOSIS:Single polyp in descending colon Questions- Profile- Stage of Growth and Development (Erick Erikson)- Pathology Information- Table of Laboratories (The altered according to the pathology)- Table of Medications- Table of studies – If applicable- Care Plans (2)- Nursing note:- Narrative- Conclusion- References Health Science Science NursingNUR 2306
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 moreEach 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 moreThanks 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 moreYour 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 moreBy 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