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Discussion 11 – Pediatric Infectious Diseases, Dermatologic Disorders

Discussion 11 – Pediatric Infectious Diseases, Dermatologic Disorders

Sample Answer 

Discussion 11 – Pediatric Infectious Diseases, Dermatologic Disorders

Pediatric Infectious Diseases

The vital signs presented at the hospital include sore throat, fever, and sleeping. From the patient’s history, his usual life patterns have not changed, including feeding, sleeping, and school. However, since the patient reports being positive for seasonal allergies, it could be possible that he is a victim of the changes in the seasons, which could result in allergic reactions to different particles available in his environment. Research indicates that allergies might cause similar symptoms to the flu or a cold, including a sore throat, a runny nose, or sneezing, most of which are present in the patient (Wallace, and Dykewicz, 2017). However, due to the differences in the underlying causes of allergies, receiving the right diagnosis would provide the best treatment and clinical practice to implement.

In most cases, the treatment of allergic rhinitis is similar. Therefore, apart from the general diagnoses for seasonal allergies and possible infections, the examination should include the assessment of ears, nose, and throat to make a clear diagnosis. The best treatment for subsequent seasons would include avoidance of the allergens that are considered to trigger the symptoms that have been identified in the patient (Dykewicz, Wallace, Baroody, Bernstein, Craig, Finegold, and Bernstein, 2017). Additionally, managing the symptoms through medication would be appropriate for this case, which includes specific treatment with antibiotics for the infections identified. Some of the best prescriptions for the patient include cetirizine (Zyrtec) alongside medications that combine phenylephrine, diphenhydramine, and acetaminophen.

In the future, the patient should avoid the triggers of the symptoms by remaining indoors, keeping windows shut, wearing a dust mask while outside the house, and using air conditioners with HEPA filters instead of ceiling fans to cool the home during the summer. Pollen forecasts should also be observed and avoided all the time.


Dykewicz, M. S., Wallace, D. V., Baroody, F., Bernstein, J., Craig, T., Finegold, I., & Bernstein, D. I. (2017). Treatment of seasonal allergic rhinitis: an evidence-based focused 2017 guideline update. Annals of Allergy, Asthma & Immunology119(6), 489-511.

Wallace, D. V., & Dykewicz, M. S. (2017). Seasonal Allergic Rhinitis: A focused systematic review and practice parameter update. Current opinion in allergy and clinical immunology17(4), 286-294.


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Discussion 11 – Pediatric Infectious Diseases, Dermatologic Disorders

Discussion Prompt (250 -300 words):

  • Evaluate the subjective and objective information provided to you in the file below. 
  • First, identify all pertinent positive and negative information.
  • Create a differential diagnosis list with at least 3 possible actual diagnoses based on your findings. 
  • Next, create a plan utilizing clinical practice guidelines for the priority diagnosis. 
  • Include APA in-text 2 scholarly citations and provide full reference citations at the end of the discussion.

    Discussion 11 –


NU632 Unit 11 Discussion Case

C.C. Sore throat, fever, and sleeping more

HPI: J. W. a 16 y.o. M presented to the clinic today, he developed a sore throat which began 3 days ago. J.W. states the pain is described as achy and sharp and is rated 5/10 in terms of intensity. His pain is in his throat and the pain is associated with swallowing. J.W. states his pain is accompanied by headaches, decreased appetite, rhinorrhea, and voice hoarseness. He has tried Tylenol with some relief.  He has never felt this bad before.

PM Hx: Reports seasonal allergies. Denies any medical or surgical history. Soc Hx: Full-time student at high school and lives at home with parents and two younger siblings. During the week, plays football for high school. He works part time on the weekend sat McDonald’s. Has his license. He is not sexually active. Denies any smoking or any forms of tobacco products. Denies any illicit drug or alcohol use. Sleeps 6-8 hours most nights and exercises five days a week which includes cardio. Fam Hx: Mother (living) is 49 with hypertension and dyslipidemia, no history of cancer. Father died of a car accident at 39 years old, he had a history of non-insulin dependent diabetes. ALLERGIES: No history of hives, eczema or rhinitis. Reports seasonal allergies Medications: None

ROS: GENERAL: Positive for fatigue starting 3 days ago. Denies weight loss, reports fever and denies chills. Reports recent decreased appetite. HEENT: Denies hearing loss, sneezing, and congestion. Positive for runny nose and sore throat. Positive for voice hoarseness. SKIN: No rash or itching. CARDIOVASCULAR: Denies chest pain, chest pressure or chest discomfort. Denies palpitations or edema. RESPIRATORY: Denies shortness of breath, cough or sputum. GASTROINTESTINAL: Denies nausea, vomiting or diarrhea. Denies abdominal pain or bloody stools. No heartburn or indigestion. Reports formed, regular bowel movements. NEUROLOGICAL: Denies dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. Positive for headaches without aura. MUSCULOSKELETAL: Denies muscle pain, back pain, joint pain or stiffness. LYMPHATICS: Reports pain or swelling of lymph nodes behind her ears. Denies history of splenectomy. Denies history of appendectomy or tonsillectomy. ENDOCRINOLOGIC: Denies of sweating, cold or heat intolerance. Denies polyuria or polydipsia. Objective: VS: BP 118/62; P 84; R 15; T 97.8; 02 99% on room air, WT: 135lbs; HT: 5 foot 10inchesGeneral: Patient appears fatigued and well groomed. Color consistent with ethnicity. Skin: Warm and dry. No bruises. Intact without rashes or lesions, no urticaria. HEENT: Head atraumatic, midline, no tics or tremors noted. No facial swelling or tenderness. Pupils equal, round, and reactive to light. No glasses or contacts. Smell intact, nose symmetrical. Pale, boggy turbinate noted. Scant, clear discharge noted to bilateral nares. No polyps. Bilateral auricles symmetric. Bilateral tympanic membranes pearly grey with light inspection. No pain or discharge from ear canals. Oropharynx with mild erythema and no discharge. No swelling of the tongue, white patches on the oral mucosa with slight edema of the uvula. Enlarged tonsils+3.Neck: Bilateral symmetry of the

Sternocleidomastoid and trapezius muscles. Trachea midline. No JVD. No thyromegaly. Supple, no masses or tenderness to palpation. Bilateral non-tender 0.5cm anterior and posterior lymph nodes palpable. Cardiovascular: No murmur or gallops, S1 and S2. No edema noted. Gastrointestinal: Abdomen is symmetrical, round, flat. Active bowel sounds in all quadrants. Soft, non-tender on palpation. No masses on palpation. Mild enlargement of spleen. No hepatomegaly. Pulmonary: Lungs are clear to auscultation. No wheezing, cough, or congestion. No SOB or dyspnea. No stridor. Musculoskeletal: Full range of motion to all extremities. No pain, redness, or stiffness in all joints. Neurological: Cranial nerves II to XII intact. Sensory intact. Motor is 5/5. No ataxia. Gait steady. Balance intact. No weakness. No dizziness or loss of motor function.

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