SOLUTION 1
SOLUTION 1
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Examen
Solution 1
SOLUTION 
DATE 
8:00 am 
Ms Charlene 
14 year old girl who is a known case of Chronic kidney disease due to inherited pathology is alert & 
awake. 
Pallor, bilateral pitting edema on lower limbs & facial puffiness is present. 
Breath sounds are quite normal and respiration is normal. Heart sounds heard normally. 
Bp 90/60 mmHg. P/R = 80 Spo2 = 98% 
Dialysis shunt is present in the left forearm. 
Current mood is unpleasant and with sad facial expressions. Speech out put is reduced. H/o low 
physi...
Examen
Solution 1| 2022 Verified
PopularSOLUTION 
DATE 
8:00 am 
Ms Charlene 
14 year old girl who is a known case of Chronic kidney disease due to inherited pathology is alert & 
awake. 
Pallor, bilateral pitting edema on lower limbs & facial puffiness is present. 
Breath sounds are quite normal and respiration is normal. Heart sounds heard normally. 
Bp 90/60 mmHg. P/R = 80 Spo2 = 98% 
Dialysis shunt is present in the left forearm. 
Current mood is unpleasant and with sad facial expressions. Speech out put is reduced. H/o low 
physi...