Subject area Nursing

Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient ? Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients After completing your research, consider this scenario:An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:? A blood and urine culture ? A complete blood count ? A comprehensive metabolic panel The culture reports were found to be negative.Today, the vitals of the child are the following:? Temperature: 101.5 degrees Fahrenheit ? Heart rate: 120 beats/minute ? Respiratory rate: 20 breaths/minute ? Blood pressure: 90/40 Physical examination of the child indicates the following positive findings:? Injected conjunctiva ? Palmar redness ? Magenta-colored lips ? Red macula ? Excoriating rashes in the diaper area On the basis of the above information, respond to the following:? What will be your differential diagnoses for this patient? ? What specific physical exam findings support these differential diagnoses? ? Of the differential diagnoses you listed, which would be the most concerning? ? What additional diagnostic tests will you recommend? Why? ? What would be your focus for caregiver education?
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