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    Case Presentation On Appendicitis

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    sonutalk
    This document contains information about a case presentation of a child with appendicitis. It includes the child's personal data, medical history, examination findings, diagnostic testing, treatment including surgery and post-operative care, nursing care plan, and health education provided to the family. The case presentation follows the typical structure of identifying data, chief complaint, history of present illness, review of systems, social history, physical examination, diagnostic testing, diagnosis, treatment and discharge planning.

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    Case Presentation On Appendicitis

    Uploaded by

    sonutalk
    251 views24 pages
    This document contains information about a case presentation of a child with appendicitis. It includes the child's personal data, medical history, examination findings, diagnostic testing, treatment including surgery and post-operative care, nursing care plan, and health education provided to the family. The case presentation follows the typical structure of identifying data, chief complaint, history of present illness, review of systems, social history, physical examination, diagnostic testing, diagnosis, treatment and discharge planning.

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    Case Presentation on Appendicitis

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    This document contains information about a case presentation of a child with appendicitis. It includes the child's personal data, medical history, examination findings, diagnostic testing, treatment including surgery and post-operative care, nursing care plan, and health education provided to the family. The case presentation follows the typical structure of identifying data, chief complaint, history of present illness, review of systems, social history, physical examination, diagnostic testing, diagnosis, treatment and discharge planning.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    251 views24 pages

    Case Presentation On Appendicitis

    Uploaded by

    sonutalk
    This document contains information about a case presentation of a child with appendicitis. It includes the child's personal data, medical history, examination findings, diagnostic testing, treatment including surgery and post-operative care, nursing care plan, and health education provided to the family. The case presentation follows the typical structure of identifying data, chief complaint, history of present illness, review of systems, social history, physical examination, diagnostic testing, diagnosis, treatment and discharge planning.

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    Case presentation

    Identification data of the Baby

    Case presentation

    Present Complain

    Child Personal Data

    Obstetrical History of the mother

    Antenatal & Natal History.

    Child Personal Data


    Anthropometric Measurements
    SR. NO. CHARACTERISTICS WEIGHT IN THE BABY 40 Kg. 50 - 52 Kg

    HEIGHT
    CHEST CIRCUMFERENCE HEAD CIRCUMFERENCE MID ARM CIRCUMFERENCE

    163 cm
    65 cm 50 cm 24 cm

    165 170 cm
    76 to 80 cm 54 to 55 cm 25 to 28 cm

    Child Personal Data

    Gross Motor Development


    Fine Motor Development

    Play Habits.
    Toilet training. Nutrition.

    Child Personal Data


    Immunization History
    SR. NO. BCG OPV DPT I + OPV VACCINE GIVEN / NOT GIVEN Given Given MONTH / DATE / TIME At Birth 1 Month (6 weeks)

    DPT II

    + OPV

    Given

    2 month (10 weeks)

    DPT III MEASEALS DT & TT

    + OPV

    Given Given Given

    3 month (14 weeks) 9 Month 16 Month

    HEPATITIS B

    Given

    10 Years

    Case presentation
    Family history
    RELATION

    SR.
    NO.

    NAME OF THE FAMILY


    AGE / SEX MEMBER PATIENT 40 YRS / MR. RAMPRAKASH MORE MALE MRS. SUNANADA RAMPRAKASH MORE MR. PRADEEP RAMPRAKASH MORE MS. POOJA RAMPRAKASH MORE 35 YRS / MOTHER FEMALE 16 YRS / SELF MALE 11 YRS / DAUGHTER FEMALE 6th Std ---10th Std ---11th Std ---FATHER B.A. ---WITH THE EDUCATION REMARK

    Case presentation

    Anatomy

    &
    Physiology.

    Case presentation

    Case presentation

    Definition

    Etiology.

    Case presentation
    Pathophysiology

    Case presentation
    Clinical Manifestation
    SR.NO. 1. 2. 3. 4. 5. 6. 7. 8. BOOK PICTURE Vague epigastric or periumbilical pain progresses to right lower quadrant pain low-grade fever Nausea and sometimes by vomiting. Loss of appetite Local tenderness is elicited at McBurneys point when pressure is applied The extent of tenderness and muscle spasm and the existence of constipation Diarrhea depends not so much on the severity of the appendicle infection as on the location of the appendix. Rovsings sign may be elicited by palpating the left lower PATIENT PROFILE Yes Yes Yes Yes Yes

    Yes
    Yes Yes

    quadrant.

    Investigation
    SR.NO . INVESTIGATION NAME Complete physical examination Complete blood cell count Elevated white blood cell count. The leukocyte count may exceed 10,000 cells/mm3 neutrophil count 4500-11000 /mm3 Normal Range Patient Range . . Done More than 12,000 cells/mm3 More than 75%. REMARK Elevated white blood cell count.

    May exceed 75%.


    Abdominal x-ray films, Ultrasound studies, CT scans may reveal a right lower quadrant density or localized distention of the bowel. .. Done . Done

    Done

    Diagnostic evaluation
    SR. NO. BOOK PICTURE History & physical examination complete physical examination complete blood cell count IN PATIENT

    DONE
    DONE Elevated white blood cell count. The leukocyte count may exceed 10,000 cells/mm3 Neutrophil count May exceed 75%. DONE DONE

    Abdominal x-ray films, ultrasound studies, CT scans may reveal a right lower quadrant density or localized distention of the bowel.

    DONE

    Medical Management
    SR.
    NO. 01 02 DRUGS NAMES Inj. Monocef Inj. Metro DOSES 2 gm IV 100 ml 40 in 100 ml of NS 05 06 Intravenous fluids D5, D10, RL Inj. diazepam

    FREQUEN
    CY BD TDS

    03
    04

    Inj. Diclonefec sodium


    Inj. Pan .

    Surgical Management

    Appendectomy

    Diet Management

    Clear Diet

    Full Liquid Diet


    Soft Semi solid Diet

    Nursing Management & Nursing Care Plan

    Nursing Diagnosis
    1. 2.

    Pain related to Inflammation in the left lower region (Appendix) Understands the surgical process and the necessary preoperative preparations .

    3. 4. 5. 6.

    Attainment of a positive self-concept Reduction of anxiety Maintenance of skin integrity Achievement of an optimal nutritional intake

    Progress of the patient

    Health education

    1. PROMOTION OF HEALTH 2. PREVENTION OF INFECTION 3. HEALTH EDUCATION ON DIET 4. EXERCISES 5. ACTIVITY 6. FOLLOW UP

    Health education

    1. Summary 2. Discharge Planning 3. Conclusion

    Plan for Data Analysis

    INTERNET
    WWW.biowizard.com.cabassearch.php WWW.caringforkids.cps.ca WWW.chidcare.com WWW.emedicine.com WWW.medmatrix.org

    WWW.ncbi.nim.nih.gov/entrez/query
    www.savechildren.org WWW.who/int

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