3) The signs and symptoms of Castleman’s Disease can be rather vague, usually presenting as flu symptoms in the beginning. How can the nurse educate the families on what to look for and when to come to the hospital for a child that is potentially immunocompromised and experiencing massive inflammation such as E.B.?
Thanks for using this patient. I Can’t imagine how challenging it was for this child and her family prior to her diagnosis, as well as after. The family of this child probably never imagined flu like symptoms that were expected to resolve, would turn out to be this disease. Coming from a parents perpective I would educate families about the ovbiuos nonspecific symptoms such as the nausea, vomiting, fever, loss of appetite. Like
I was a 14 year old freshman in high school when I started getting sick. I was always a pretty healthy kid who had perfect attendance records UNTIL that year. The extreme fatigue and weight-loss was the main sign to my mom that something was seriously wrong. Around January of 2010 I had a colonoscopy to confirm what my doctor already believed. I have Crohn’s Disease.
4.2) If a child has an allergic reaction to something then they may need to be taking to hospital it all depends on how bad they are allergic to something. If a child has asthma they should have their inhalers if they start having an attack, then the inhaler would be giving to they while an ambulance and parents are on there way. If a child has a bump on the head and as you monitor them throughout the day and they start to drop this is a sign they may need to get checked out by a nurse.
In the introduction of his book The First Horseman: Disease in Human History, John Aberth discusses the types and causes of diseases. He also explains the impact of disease. One thing I took note of was the differentiation between an epidemic and a pandemic. An epidemic is an outbreak of a disease that would erupt and prevail among large numbers of the community. A pandemic spreads across large geographical areas from one society to another. According to Eamon all diseases vary in their morbidity. Diseases such as leprosy and syphilis are far less infectious and rarely fatal but can be chronic .
It’s a rare autoimmune disease caused lymphoproliferative disorder , due to abnormal overgrowth of cells of the lymph system similar in many ways to lymphomas (cancers of lymph nodes) but this disease is not cancer . It is also called giant lymph node hyperplasia or angiofollicular lymph node hyperplasia (AFH).
A total of 35 children were enrolled into the current study; 15 children had a medical illness, 14 children were siblings of a child with a medical and/or chronic illness, and 6 children were healthy and had healthy family members. The children with medical illnesses and the
Castleman 's disease is a rare condition characterized by benign, non-cancerous, growths that develop in the lymph node tissue throughout the body. With the exception of the central nervous system (CNS), lymph nodes may be found in every area of the body. Most often, these growths occur in the chest, stomach, and/or neck, but may also be found in the armpit, pelvis, and pancreas. Usually the tumors represent abnormal enlargement of the lymph nodes normally found in these areas (About Castleman Disease). The abnormal overgrowth of cells of the lymph system is similar in many ways to lymphomas, which is cancer of lymph nodes (Weerakkody, Y).
Choice “E” is the best answer. This patient has symptoms and signs consistent with infectious mononucleosis caused by Epstein Barr virus (EBV). The infection begins with a general feeling of malaise and fatigue. The malaise and fatigue is followed by fever, sore throat, and lymphadenopathy. The pharyngitis due to EBV infectious mononucleosis may be exudative or nonexudative.
Billy is a 3 year old little boy who until recently has been a happy, playful child. He is presenting with malaise, fever, and what appears to be tiny, red blisters in his mouth and throat and beginning on his hands and feet that are painful to the touch. His mother states that he has felt bad for a couple of days and now doesn 't want to eat or drink. He is also complaining of a "tummy ache". He attends a daycare with 10 other children. His mother states that she had been "looking things up on on the internet" and thought Billy at first had the flu. Upon assessment, he is diagnosed with Coxsackie virus, also known as Hand-Foot-Mouth Disease. As Billy 's mom discovered in her internet search, "Hand, Foot, and Mouth Disease" is just one of many infections that can cause mouth sores. Often a search for the symptoms of basic medical conditions can lead people to content on more serious illnesses, therefore increasing their fears that something tragic is occuring. Billy 's mom was afraid that her son had not the flu, but something much more serious. His diagnosis of Coxsackie however, relieved her
Jonathan Bowden age 8 came in August 13, with slight respiratory problems. After taking a Multiplex PCR test (a way to amplify DNA in samples using primers and temperature-mediated DNA polymerase in a thermal cylinder), results came back high in a certain class of viruses: rhinovirus and enterovirus. The test doesnt tell us which is which, but knowing rhinovirus was more of a late fall/ winter problem. We were right in the midst of the enterovirus season. Although PEM is rare, its been on the rise, at least 500 children in 42 states contracted the virus in the past three months.
However, when the parents found out that their daughter remained fever, the parents were quick to refer to a paediatric infectious-disease doctor at the UMass Memorial Medical Center.
I live with this disease everyday and I probably will for the rest of my life. When I was born, I was presumably a normal baby. But when I was 3 I got sick and it never really went away. I was tested for just about any disease possible, then results
A complete history and physical was performed and disclosed a past medical history of acute otitis media (AOM) diagnosis at 12 and 18 months of age; this patient was treated with antibiotics and her symptoms resolved (Fahey, 2011). It was determined that this patient attends a group daycare, and her older sibling has recently been diagnosed and is being treated for influenza type A (Fahey, 2011). Suggested differential diagnoses were identified and viruses were quickly ruled out because the patient’s symptoms had already passed the time frame (3 days) for viral syndromes (Fahey, 2011). The patient had already received an influenza vaccine for this season, however a rapid influenza and RSV test were completed and resulted negative (Fahey,
“[I] Started the day [by] stripping down to my skivvies and getting photographed from multiple angles, including close-ups of my hands, face, and eyes. I wasn’t allowed to tease my bangs, so it wasn’t a good glamour shots shoot. These pictures will be used to baseline my appearance as time goes on.” - Three Days a Blur (Josef Lacy, 2016)
Both parents and his three sisters are disease free. The maternal grandmother’s brother died when he was 4, exhibiting many of the same symptoms as the patient.
The history of decision-making was discussed with the mother. She indicated that first pediatrician was recommended by the hospital. Ms. Choi reported when the family moved back to New York City, she found a new pediatrician. She indicated that she has been satisfied with the quality of care provided by the pediatrician. The children’s immunizations are up to date.