The following case study has three questions that are highli…
The following case study has three questions that are highlighted in yellow to address. Please address each one separately and thoroughly. A 6 year old previously healthy boy is brought in by his grandma with reports of cough, fever, and chills for 4 days. Past Medical History: no previous hospitalizations, did have RSV at 3 months old. No sick visits for 1 month ago when he had an ear infection. Allergy: NKDA ROS: General: Grandma reports fever up to 102.2 last night, fever reducer last given 2 hours ago. Does watch TV when fever down but very irritable. Several kids in his class at school with URI. HEENT: nose with slight clear discharge, sometimes complains of a headache. Lungs: Started out as a dry cough but has progressed to a rattly cough and all day long. Like he needs to cough something up. One time grandma noted some streaks of blood when he spit out sputum. Abdomen: child reports his “tummy hurts,” no diarrhea or constipation, last BM yesterday, no vomiting, does have decrease appetite Musculoskeletal: plays well normally Assessment: HR: normal RR: 55 O2 sat: 94%ra Wt: 30lb Temp: 100.6 General: no acute distress but does look sick. HEENT: mucus membranes moist, scant amount of discharge from bilateral nares. Heart: rate regular with no murmur Lungs: diminished breath sounds and crackles in left middle and lower lobe. No retractions or nasal flaring. Abdomen: round, bowel sounds active, soft, nontender Skin: warm, dry, with no rashes What are the differential Diagnosis? Diagnostic Tests: Flu- negative What is your diagnosis? What is the plan of care/treatment? If ordering a medication, what is the recommended dose?