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LAVC Pediatrics Case Scenarios and Application Discussion

LAVC Pediatrics Case Scenarios and Application Discussion

Description

PART I

All students are required to complete Tables 1-3 Download Tables 1-3as a component of the discussion. Completing these exercises will assist you in preparing for the discussion, weekly quiz, and the Competency Exam. The Burns Text should be the predominant resource used to complete the tables.

PART II

Select one of the following four case scenarios. Identify the prompt in the subject line of your post, for example, Case Scenario 1 – Brenda

Complete all Part II elements of the discussion:

Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least two peers who chose a different case scenario – other than the one you selected. For example, if you selected Case Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer who selected Case Scenario 3.

Be prepared to answer additional questions relating to a secondary diagnosis or consideration posed by faculty.

Case Scenario 1: Brenda is a 13-year-old brought into the clinic by her mother for a left leg limp she developed last week. Brenda’s BMI is >95%. She reports no history of injury and her past medical history is unremarkable. She can bear weight on her left leg but complains of left hip, groin, and knee pain when she does.

What more should you know about Brenda?

What specific exam techniques should you perform and why?

What diagnostic tests should you order and why?

Case Scenario 2: Jim is a 17-year-old who was brought into the clinic today for a headache. He reports nausea and an increase in stress from school and after-school activities (basketball practice and debate team). His vital signs are within normal limits and his BMI is 24.

What more should you know about Jim?

What information in your history and exam would be red flags suggestive of secondary or pathologic headaches

What education would you provide for Jim and his parents?

Case Scenario 3: Robert is a 14-year-old undergoing a rapid growth spurt who complains of a tender mass over the anterior tubercle of one knee. He says the pain improves with rest and worsens with activities like squatting, kneeling, jumping, and climbing stairs.

What does the evidence suggest about the etiology of his condition?

How should you manage this condition?

What type of anticipatory guidance should you share with Robert and his parents?

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