Emma Ryan V5 i-human Case Study Guide
Emma Ryan V5 i-human Case Study Guide
Emma Ryan V5 i-human Case Study Guide
Emma Ryan V5 i-human Case Study Guide
, iHuman Case of Emma Ryan, 2 year old with
chief complaint of runny nose, cough, and fever.
Discussion Question 1
Based on your performance and the expert feedback in your HISTORY
collection, describe two missed questions and your understanding of why they
were important to collect for this case history. Use specific references from your
text to explain.
During history collection, when going through patient’s symptoms with her
mother, I failed to further investigate an ear problem, because patient is a 2 year
old, she was not able to communicate and presented with discomfort during visit. I
asked about ear pain or discomfort such as the child tugging at her ear and mother
replied that there were no signs of that, but I failed to ask if there were any signs of
discharge or bleeding of the ears. The collection of these signs are clinically
important because that could lead to a better understanding initially, prior to
physical exam, as bleeding discharge from the ears can indicate and external ear
canal wound, skull fracture, or traumatic perforation of the tympanic membrane
(Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127). Discharge of the purulent type
can also be a sign of infection or a foreign body in the ear (Goolsby, Jo, M.,
Grubbs, Laurie., 2014, p. 127). Another question that was missed during history
collection was if patient had a flu shot. I stopped at asking if when her last
immunizations were given and if they were up to date, but failed evaluate mother’s
Emma Ryan V5 i-human Case Study Guide
Emma Ryan V5 i-human Case Study Guide
Emma Ryan V5 i-human Case Study Guide
, iHuman Case of Emma Ryan, 2 year old with
chief complaint of runny nose, cough, and fever.
Discussion Question 1
Based on your performance and the expert feedback in your HISTORY
collection, describe two missed questions and your understanding of why they
were important to collect for this case history. Use specific references from your
text to explain.
During history collection, when going through patient’s symptoms with her
mother, I failed to further investigate an ear problem, because patient is a 2 year
old, she was not able to communicate and presented with discomfort during visit. I
asked about ear pain or discomfort such as the child tugging at her ear and mother
replied that there were no signs of that, but I failed to ask if there were any signs of
discharge or bleeding of the ears. The collection of these signs are clinically
important because that could lead to a better understanding initially, prior to
physical exam, as bleeding discharge from the ears can indicate and external ear
canal wound, skull fracture, or traumatic perforation of the tympanic membrane
(Goolsby, Jo, M., Grubbs, Laurie., 2014, p. 127). Discharge of the purulent type
can also be a sign of infection or a foreign body in the ear (Goolsby, Jo, M.,
Grubbs, Laurie., 2014, p. 127). Another question that was missed during history
collection was if patient had a flu shot. I stopped at asking if when her last
immunizations were given and if they were up to date, but failed evaluate mother’s
