Respiratory Lungs Clear Assignment Help: How to Answer This Question
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Use appropriate theories and support your answer with clear reasoning.
Key Explanation
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Original Question
Respiratory: Lungs clear to auscultation bilaterally. No stridor or wheezing. Abdomen: Soft, non-tender, no hepatosplenomegaly. Neurological: Alert and oriented. No focal deficits. Assessment (A): Primary Diagnosis: • Streptococcal Pharyngitis (Strep Throat) (ICD-10: J02.0) Differential Diagnoses: • Viral Pharyngitis (Less likely due to absence of cough and presence of exudates) • Infectious Mononucleosis (Considered, but no significant fatigue or splenomegaly noted) • Hand-Foot-Mouth Disease (Less likely due to absence of oral ulcers or rash) Plan (P): Diagnostic Tests: • Rapid Strep Test: Positive • Throat Culture: Sent to confirm bacterial etiology Pharmacological Interventions: • Amoxicillin 50 mg/kg/day PO in two divided doses x 10 days • If penicillin allergy: Azithromycin 12 mg/kg/day PO x 5 days • Alternative Antibiotic Regimens: • Penicillin V: • For children, 250 mg orally 2-3 times daily for 10 days • For adolescents, 250 mg orally 4 times daily or 500 mg orally twice daily for 10 days • Benzathine penicillin G: • For children weighing < 27 kg (59.4 pounds), 600,000 units intramuscularly as a single dose • For children weighing ≥ 27 kg (59.4 pounds), 1,200,000 units intramuscularly as a single dose • Systemic analgesics, including acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs), may help with symptom relief in all patients with streptococcal pharyngitis. • Older children and adolescents may benefit from topical analgesics, such as medicated oral spr Image transcription text Respiratory: Lungs clear to auscultation bilaterally. No stridor or wheezing. Abdomen: Soft, non-tender, no hepatosplenomegaly. Neurological: Alert an... Show more
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