NRNP 6552 Week 8 Assignment; Miah Zavarro

5969000-8875Performance Overview for Tonya London-Simpson on case Miah Zavarro The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 13hr 22min 52sec Status: Submitted Case Section Status Your Score Time spent Performance Details Total Score 22% History Done 53% 2hr 8min 41sec 75 questions asked, 12 correct, 11 missed relative to the case's list Physical exams Done 88% 2hr 16min 54sec 42 exams performed, 13 correct, 1 partially correct, 1 missed relative to the case's list Key findings organization Done 18min 56sec 11 findings listed; 11 listed by the case Problem statement Done 54min 24sec 90 words long; the case's was 91 words Differentials Done 20% 36min 49sec 7 items in the DDx, 1 correct, 4 missed relative to the case's list Differentials ranking Done 60% (lead/alt score) 40% (must not miss score) 2min 20sec Tests Done 31% 26min 3sec 8 tests ordered, 5 correct, 11 missed relative to the case's list Diagnosis Done 100% 7sec Management plan Done 3hr 30min 27sec 881 words long; the case's was 329 words Exercises Done 79% (of scored items only) 14min 27sec 7 of 9 correct (of scored items only) 1 partially correct Attempt: 2739082Report generated on 4/26/2023, 10:08:04 PM America/Denver 5969000-262681History Notecard by Tonya London-Simpson on case Miah Zavarro Use this worksheet to organize your thoughts before developing a differential diagnosis list. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = Sx = Sx = Sx = Sx = Sx = Onset Location Duration Characteristics Aggravating Relieving Timing / Treatments Severity Attempt: 2739082Report generated on 4/26/2023, 10:08:04 PM America/Denver 5969000-262681Problem Statement by Tonya London-Simpson on case Miah Zavarro The patient is 21 months old female who presents with her mother for a two-day history of severe persistent right foot swelling with warmth and left hand and finger swelling. Mom endorsed a lack of appetite, abdominal pain and distention, decreased play, and refusal to grasp, bear weight or walk. Per mom's report, symptoms are relieved by NSAIDs, fluids, and rest. The physical exam revealed scleral icterus, splenomegaly, and a systolic flow murmur. Risk factors: history of similar hand and foot symptoms, no family or birth history available, prior URI Attempt: 2739082Report generated on 4/26/2023, 10:08:04 PM America/Denver 5969000-262681Management Plan by Tonya London-Simpson on case Miah Zavarro Primary Diagnosis with ICD Code and rationale Sickle cell anemia, D57.219 The patient is a 21-month-old female who presents with left-hand and right-foot dactylitis one week after an upper respiratory infection. The physical exam revealed splenomegaly, scleral icterus, and a systolic