Pediatric GAS Pharyngitis Shadow Health (Sophia Hadad)- Transcript

Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results/Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results Pediatric GAS Pharyngitis: Many viruses and bacteria can cause acute pharyngitis. Streptococcus pyogenes, which are also called group A Streptococcus or group A strep, cause acute pharyngitis known as strep throat. Group A strep pharyngitis is an infection of the oropharynx caused by S. pyogenes. Group A strep pharyngitis is an acute pharyngitis that commonly presents with, sudden-onset of sore throat, odynophagia, fever. Other symptoms may include headache, abdominal pain, nausea, and vomiting — especially among children. Patients with group A strep pharyngitis typically do not typically have cough, rhinorrhea, hoarseness, oral ulcers, or conjunctivitis. These symptoms strongly suggest a viral etiology. On clinical examination, patients with group A strep pharyngitis usually have, pharyngeal and tonsillar erythema, tonsillar hypertrophy with or without exudates, palatal petechiae, anterior cervical lymphadenopathy. Patients with group A strep pharyngitis may also present with a scarlatiniform rash. The resulting syndrome is called scarlet fever or scarlatina. Patient Narrative: Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results/Shadow Health Focused Exam: Pediatric GAS Pharyngitis Results Sophia Haddad is a 5-year old female who presents is with painful swallowing. This assignment provides the opportunity to conduct a focused exam on a pediatric patient who presents with Group A Streptococcal Pharyngitis. You will interview Sophia Haddad and her father, Omar, using therapeutic communication and obtain enough subjective data to determine the appropriate pharmacological therapy for her condition. After the patient exam, you will select the most appropriate medication for Ms. Haddad and educate her father on how to safely administer it and care for Sophia while she is sick. If applicable, you will write a prescription for the selected medication. On average, this assignment should take 75 minutes to complete. Planning your time: • Review the assignment settings your instructor selected on the assignment overview page. • Every assignment setting allows you to stop and resume an assignment until you leave the patient's room. Your progress is automatically saved every 30 seconds. Assignment First Turn In Allow Reopening Flexible Turn In Time Estimate ~60 minutes ~75 minutes ~120 minutes Tips for success: You should prepare prior to entering Ms. Henderson’s room. We suggest taking out your textbook to remind yourself of what doing an assessment entails. There are essential sections of patient information that your interview will need to uncover. There are multiple essential questions for each of these topics:  Chief Complaint  History of Present Illness  Past Medical History pertaining to her UTI  Home medications  Social history pertaining to her UTI  Family history related to her UTI  Targeted review of systems related to her UTI Know all of your qualifying questions for any symptom that may be reported:  Onset  Location  Duration  Characteristics  Aggravating/alleviating factors  Related symptoms