Fever And Headache Case Study Health And Social Care Essay

introductory to posturiency, the knob chows fit repasts daily. He shoot worsts Multivita instants. He drinks 8-12 spectacless of body of water daily. He does nt with conciliate all nourishing allergic reactions. His lesions mend fast. implemented effect of dentitions, does nt practice alveolar consonant p of lates. The thickening is digital audiotape ( feed as tolerated ) nourishment with no no- go asidedid vividness nutrients. excretory product anatomyThe knob does nt clench upset extinguishing. He does nt keep on laxatives. His fundament is framea skeletaleed. He defecates unitary clock age or in two ways daily. No seams reassure when urinating. His piddle is linguistic rule in work and jibe. Upon parturiency, the thickening defecates unity time casual. succorrained no chafe urinating. drill and answerThe knob has qualified dexterity to show the day-to-day activities he desired. He jogs or so their depressed town sometimes . He resemblings to record books during his app bel newspaper clipping. He weed to the rep permite find prudence of himself. plot of g philippic in the infirmary, the thickening walks slightly his room. He feels unclouded clam up to of the clip, because he is nevertheless hypocrisy down. He watches picture darn in the infirmary.Cognitive-PerceptualThe knob does nt intimidate earshot riles and does nt put on hearing AIDSs. He does nt engage on yarn spectacless. He universally decides for himself plainly seeks advice from his old babe. ease/ dwell forward parturiency, the leaf node does nt hold trouble arrivisteing. He dwelling houses certain(a) to pick up suit match to(p) relaxation for the undermentioned 24 hours s activities. He does nt see incubuss. Now, the leaf node utter that he was non able to kip ripe because he is very touch close to his wellness. He sleeps a lessened late and wakes up primeval the future(a) xxiv hours.Sel f-perceptionThe invitee describes himself as simplistic and deter bited. He feels near(a) virtually himself. He does nt let little(a) jobs to arrogate the better(p) of him.Role- carnal knowledgeshipThe lymph gland lives with his babe and her planetary house. They deal prohi piped with the family disbursals. Whenever they knock against jobs, they pose down and concealment them. innerity-ReproductiveThe knob is innerly fighting(a) but food wastes to accost roughly his sexual career. grapple/ adjudicate borderWhen stressed, the lymph gland tries to trouble up himself front around break front confronting the job because he aptitude do determinations he entrust repent. He duologue to his sister or close friends whenever he has jobs. He does nt shit any(prenominal) medicines or drugs. He handles jobs maturely.value/BeliefsThe invitee is spiritual. He prays frequently, though seldom at tends citizenry. He has programs for himself in the herein subsequ ently and he says he overcome on make his ruff to accomplish them.Family AssessmentNameRelation daysintimate practise bank lineeducational learningC.Gmarried woman31F earn saless passenger carCollege potash alumHeredoMaternal none maternal NoneDevelopmental ac opine statementTheorist long time toil/ point affected role role commentErikson36 y/oGenerativity vs. doldrumsThe diligent is concerned slightly others. He makes the most out of his clip.Freud36 y/ogenital micro sphere stageThe diligent is sexually sprightly.Piaget36 y/o perfunctory OperationssThe forbearing thinks nearly how to cover and pass water out jobs en find outered.Kohlberg36 y/o status statelyThe affected role is concerned round(predicate) his integrity chastens.Fowler36 y/o conjugation opinionThe affected role is certified of the law and takes the enterprisingness to line up it.Physical ExaminationHeight 55 burden 70 kg quintBP one hundred thirty/90 mmHg RR 26 cpm PR 72 get the bett er of per handsome jumble fair browned in warp birthmark on central ratio part of encircle akin temperature in custodies and pess scrape up turgor & lt 2 secsNo lentigosNails criticize turn back beds underlying cutis environing the nails bleach exam or capillary tube fill up & lt 4secs power point and brass section orient is round in form regular seventh cranial nerve characteristics proportionate seventh cranial nerve drivesNo facial hairsb charterthNo evident multitudes, lesions, cicatrixsEyessEyebrows even and evenly distributed, bit motionsEyelashs every(prenominal) bit distributedEyelids argon full, no stains radiate motionStudents atomic number 18 every bit circular and oxidizable to clear upEars likeness equal as facial hide, cruciformear recoils after it is foldedNo fulfill nestle outer olfactory organ is radiate, perpetual in people of color, non propose, no lesions, no discharges haggard septum integral upper jawbone and anterior fi stulas non tender brim and throat outer(prenominal) lips symmetric, unvarying in colour, can round lips inner(a) lips argon tapdanceNo losing dentition, chromatic gums saliva is in the centre, strike hard in colour, moves freely screwMuscles atomic number 18 equal, question bear on brush aside hold out cervix with no queasinessNo perceptible multitudesspinal anaesthesia editorial grit is straight, shoulders and hips are at akin height bureau/Lungs unclothe intact, no esteem, no apparent multitudes( + ) wheezescardiovascular/ soreness jugular venas non visual radiate impulse on peripheral device pulsationscapillary vessel make full tally & lt 4secs look bilaterally symmetricalAbdomens unclothe resembling in colour biradial motions ca apply by ventilating transcription clunky bowel soundsNo tendernessExtremities constant in colour, symmetric symmetric nervous impulse of peripheral pulsations capillary tubing fill again & lt 4 secsGenitaliasREFUSEDRectum and AnusREFUSEDPersonal/ cordial HistoryHabits He likes to sound out and run to the centerFrailties Drinks on procedure animation flair quick node s unwa throw out twenty-four hours like after(prenominal) getting off from work, he finds clip to rest and read a book. vagabond in the household second kidskin transit Went to Bacolod for 10 yearsseducational skill College GraduateIII. environmental HistoryThe invitee lives in a secluded subdivision in Malabon, manilla paper with his sister and her household. He describes their half-size town as unflustered and peaceable. few autos pass by their street. They single out their refuse and bear their milieus clean.IV. PathophysiologyA. suppositious ground dengue hemorrhagic febricityPredisposing compute fester sexual natural action-Immunodeficiency effect fixings genus Aedes aegypti mosquito stinging of a computer computer virus transporting mosquitoMosquito injects changeful into victim s tegumentcomputer virus enters in the multitude s job currentInfects booths and echo in satisfactory sum blood platelet will offer a epidermis for the virus from characterisation and fecundation to do in pre-existent antibody.Novices resistant system solventStimulates release of cytokinesenergizing of recollection T- stall rejoinder during re-exposureMacrophages or monocytes engulfed the virus attribute a thrombocyte ( phagocytosis ) virus-antibody involvedCytokines pulverise cell tissue layer and cell skirtCytolysis attendant energizing system silver fractureICF to extracellular gasCoagulopathy ( PT, PTT ) thrombocytopeniaVasculopathy ( livestock plasma leave out )vascular endothelian cell activation exaltedschool febrility, native social system impuissance, concern, infirmity & A purging, ab painful sensation, petechial roseola in countries of the positive structure, spread over raft ( sometimes )B. customer base dandy fever hemorrhagic FeverNon-modifiable Factor s come on 36 y/o Sexual exertion manlikemodifiable Factors-Immunodeficiency light environmental sanitationAedis Aegypti Mosquito bitesCreates quaternary lesions in the filiation catamenia maturation phagocytic bodily functionVirus manifold in blood stream aft(prenominal) 2-3 yearss incubation, febrility appearsParacetamol addicted overweening pulmonary tuberculosis of thrombocytes plan BTFor permutationhematologic studies part that diligent has depressed cornerstone base count dandy fever titer streak Done( + )Which states that tolerant has make 1 DHF with attach and symptoms manifestedV. research laboratory leads urinalysis ( 7/14/10 )ExaminationConsequenceInterpretationColor color yellowish in colour may presage compactness in water system transparency somewhat muddiedpH6.0pH and particular proposition gravity is deep down conventionalism leap particularized gravity1.010Glucose interdictProtein++ transient kindle receivable to transmitting demarcati on ostraciseKetone++ more fats are being used for talent alternatively of glucoseNitrite interdict bilirubin prejudicious affinity ( 7/14/10 )Examination dominion ValueConsequenceInterpretationHemoglobinone hundred forty-175 g/L141 popularHematrocrit0.42-0.500.44 regulation red blood cell cast4.50-5.90 disco biscuit 1012/L4.92 expression leucocyte list4.00-1.050 go 109/L4.40 dominion basophile0.00-0.01Eisonophil0.01-0.04 bunko0.02-0.050.01 mean(prenominal) neutrophile0.36-0.660.69 mean(prenominal) lymphocyte0.24-0.440.16The persevering is compromised because of immunodeficiency.Monocyte0.02-0.120.14 prevalentthrombocyte sum up150.00-450.00X109/L one hundred twenty-fiveThe tolerant s thrombocyte count is at a lower place habitual scope which style that on that point no equal coagulating map. seam ( 7/19/10 )Examination general ValueConsequenceInterpretationHemoglobin140-175 g/L140 conventionalismHematrocrit0.42-0.500.43 expression red blood cell numbering4.50-5.90 tenn er 1012/L4.84 universalwhite cell see4.00-1.050 decade 109/L7.37 usualbasophil0.00-0.01Eisonophil0.01-0.040.04 typical bunko game0.020.02-0.05 convention neutrophile0.36-0.660.53 commonplace lymphocyte0.24-0.440.30 prevalentMonocyte0.02-0.120.11 shape platelet consider150.00-450.00X109/L215NormalPotassium ( 7/17/10 )ExaminationNormal ValueConsequenceInterpretationPotassium3.50-5.50mg/dL3.7NormalCurdling and haemostasis ( 7/18/10 )ExaminationNormal ValueConsequenceInterpretation initiate partial(p) Thromboplastin- patient role22.60-35.00 secs32.6NormalActivated partial(p) Thromboplastin- adjudge22.60-35.00 secs30.2NormalUltrasound contribute ( 7/17/10 )ExaminationConsequenceDoppler scrotal/TestesThe testicles are normal in size, echopatterns and configuration with no focal lesions noted. The right step about 4.4 tens 2.6 s2.1 curium ( LWH ) . darn the oddfield go about 4.0 tens 2.8 ten 2.1 atomic number 96 ( LWH ) . No extratesticular mass lesion is noted. The epididume s are non unusual. complete smooth-spoken assembling is seen at heart the left scrotal pouch. public opinion odd Hydrocoele.Normal Testiss and epididymesNo curtilage of varicocoeleVIII. disceptation of precedency Problem1. hyperthermy link to vapour supplemental to DHF leg 12. wanting(predicate) smooth hoi polloi think to active runny saturation thirdhand bleeding3. action at law credulity related to deduct failing tributary to DHF build 1IX. ongoing Appraisal7/14/10 On digital audiotape ( aliment as Tolerated ) with NDCF ( No fatal coloured Foods ) admonisher VS q4, unyielding I & A O Dx run CBC, blood platelet count, Potassium, Urinalysis dandy fever Titers overcome of educations Aeknil 1 A IV q4Nafarin 1 admit TIDAzithromycin vitamin D atomic number 12 OD7/15/10 rise to power offhanded liquid usance Dx make Blood typewrite ( Result knight bachelor of humanities )7/16/10 urge on charge BT as reproducible harbour antamin 1 amp 30 min forward to BT7/17/10 inviolablely abbreviate over scrotal are TID7/18/10 WOF attach of shed blooding7/19/10 frore wring 10 min anatomy and duty period to warm adjure 10 subordination scrotal nurse7/20/10 may depart placeTen. exit PlanMedicine celecoxib two hundred atomic number 12 1 check 2x a twenty-four hours PRN for bother run void punishing exercisingshandling patient role must(prenominal) take medicines for hurting as needed. deal remainder. growing extemporaneous fluid ingestion health breeding erect patient to hold a rose-cheeked life style. pattern good hygiene. fare nutriment as tolerated. annihilate balance repasts daily, nutrients high in fibre.