S.P. is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit.

CASE STUDY

S.P. is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit. The child complains that her leg hurts.
Subjective Data
PMH of otitis media
Immunizations: Up to date
No medications
No allergies
Pain: 3/5 on pain scale
Attends preschool
Unable to recall injuring leg
Objective Data
Vital signs: T 37 P 92 R 18 BP 100/70
Lungs: clear in all fields
Heart rate and rhythm regular
Moving all extremities

Range of motion (ROM) legs and arms
Strength 5/5 in all extremities

Questions

1. What other questions should the nurse ask?
2. What techniques are helpful to incorporate in assessing a patient in this age group?
3. What other assessments should the nurse make for this clinical presentation?
4. What are a few of the major differences in the musculoskeletal assessment of a child?
5. What should be included in the plan of care?
6. Based on the readings, what is the most likely cause of leg pain for this patient?

CASE STUDY
D.F. is a 37-year-old woman who presents to the emergency department after having a seizure.
Subjective Data
PMH: Seizures, unknown type
Headache
Housewife
Feels weak
No loss of consciousness
Objective Data
Vital signs: T 37 P 72 R 18 BP 114/64
Lungs: clear all bases
O2 sat = 100%
CV = heart rate regular, positive peripheral pulses
PERRLA
Questions

1. What other questions should the nurse ask about the seizures?
2. What other assessments are necessary for this patient?
3. What are some of the causes of seizures?
4. Develop a problem list from objective and subjective data.
5. What should be included in the plan of care?
6. What other risk factors are associated with this presentation?
7. Based on the readings and the subjective and objective data, this patient most likely had what type of seizure?