Course_6435 Study guides, Study notes & Summaries

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Tommy Acker is a 26-month-old male patient who presented with his mother for multiple complaints including: abdominal pain, bruising on his abdomen, vomiting x 1, lethargy, and loss of appetite. Tommy, who has Down syndrome, lives with his single mother and three other siblings. The mother admitted to having a low-income job and not being able to afford childcare. Her boyfriend, who she stated doesn’t like children and fellow neighbors help take care of Tommy. These factors increase T...