Case Presentation: An otherwise healthy 9-month-old boy was brought to the Emergency Department by respite foster parents with a chief complaint of unusual bruises and marks on his skin. Two days prior to the ER visit, the respite foster parents had noticed some left eye redness and swelling, which by day of presentation had progressed to a large swollen blue-black lesion on his left cheek and new scattered bluish lesions on his thighs. The child had been diagnosed with a viral upper respiratory illness three weeks prior and had some lingering nasal congestion with tactile temperatures for the past week, but was otherwise acting very well, eating normally, and was not fussy. His past medical history is remarkable for a pre-term birth at 31 and 5/7 weeks gestation via vaginal delivery. The biological mother’s pregnancy was complicated by premature prolonged rupture of membranes and polysubstance abuse. He was not on any medications and has no known allergies. On physical examination in the ED, his vital signs are within normal limits for age. He is well-appearing and in no acute distress. Head and neck examinations are within normal limits with a soft and open anterior fontanelle. Cardiovascular, pulmonary and abdominal examinations also yield no abnormalities. Skin findings include an obvious large targetoid ecchymosis with underlying edema on the left cheek, a right posterior auricular ecchymosis, as well as several scattered annular blue-black ecchymoses on the bilateral
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No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,
The working diagnosis is that this patient is suffering from Angioedema as a result of Anaphylaxis and developing Urticaria. Angioedema is the swelling of deep layers of the skin due the accumulation of fluid, symptoms of Angioedema include swelling of the eyes, lips, hands and feet.
Patient is a 9 year old adolescent male, presents with a 2 day history of itching encrusted sores especially around the mouth area. Parent is using OTC antibiotic ointment with no improvement, no recent history of fever. Parent states that pat recently visited a petting zoo
Mr. .J. is a 30 year old Caucasian male presented to the Emergency Department with symptoms of myalgia, fever, rash, swollen glands, leukopenia, and thrombocytopenia. Mr. J. reported fever and sore throat started about a week ago and the rash presented today. Mr. J. stated “I thought I had the flu but I am not feeling any better and now I have a rash, that’s why I decided to come to the E.D.”. (Health and Human Services panel, 2013)
In July of 2016, I received a phone call from my old roommate, Cleveland Coxaum. He stated that was incarcerated for the past year. He failed to disclosed the reason he was incarcerated. After searching his name on the Internet, Mr. Coxaum pleaded guilty to three counts of computer solicitation of a minor under 15 years old in Bedford County Circuit Cout. According to the article, Mr. Coxaum was a day treatment counselor at Bredford Middle school. Mr. Coxaum gave his contact information to a 13 year old female student. He then attempted to make contact with the 13 year old female student.
On 15 October 2017, at 1757 hours, Deputy Tabor and Deputy Williams were dispatched to 135 South Penalosa Street in Penalosa, Kansas, Kingman County, in response to a disturbance. As Deputy Tabor was en route, he was advised by dispatch over the radio that there were young kids who had threatened to "off" the reporting party.
Extraocular muscles are intact. Conjunctivae are without erythema. No drainage or discharge from the eyes. There is no involvement of the eyelid and the nearest lesion is approximately 1.5 to 2 cm lateral to the left eye. He does have multiple vesicular lesions, some of which he has rubbed and no longer have the vesicle and appear to be just almost shallow ulcerations. This extends along the temporal area, on the left side into the ear canal itself and I do see similar lesions in the ear. Again, many of which have been ruptured and there is dried blood all through the canal as well. There is no other abnormality noted. There is no wax. I can see the TM. It does not appear to be involved. There is no involvement behind the ear. No pain at the mastoid process. Mucous membranes are moist. There is no mucosal lesions. No
The London Public Library is an organization spanning the city of London, delivering services from 16 physical locations. The core services of the library include reference, reader’s advisory and referral; collections and lending; technology services; programming and community outreach. The library is focused on literacy, learning, culture/leisure/recreation, information and community meeting place. The past few years have seen significant resources pegged towards fund raising strategies, resulting in other areas of the organization being neglected and
PER REPORTER: Kristen said a report was made on Sonny by another registered nurse (Becca) who also works for the Pediatric Clinic on January 5, 2018. Kristen said she tried calling to follow up on the report which was made by Becca by called CPS in Forrest County. However, Kristen said there were no Social Workers there for her to speak with regarding the report. Kristen said Sonny was scheduled to come into the clinic on yesterday January 15, 2018 to have his weight checked. Kristen said Sonny has poor weight gain due to his mother not waking up in the middle of the night to feed him. Kristen said the child’s mother was a no show for the child’s appointment on yesterday. Kristen also said there is history documented in the family’s hospital
Skin- she has some mild equimosis on her skin and some anathema. She has patches but no obvious skin breakdown. She has no fissuring in the buttocks crease.
No known allergies, no sinus, tenderness, no epistaxis, no bleeding gums, patient has partial dentures, one dental carrier noted, tongue is slightly coated, no swelling, lumps or tenderness noted in throat,
Per Reporter: The unknown mother entered the bathroom at the Oxford Diagnostic Center and physically abused the child. The child was about 15 or 16 months old; the child was unable to talk. The mother spanked the child on its bare skin for about 30 seconds. While spanking the child, the mother stated, “You aren’t grown.” The child was crying, losing its breathe while doing so. The people in the front of the center heard the child crying. The mother wore a white scrub top. During intake the family was at the center. Tonya (social worker) would have further information in regards to the family. The allegations were not discussed with the mother.
Liam is a previously healthy boy who has experienced rhinorrhoea, intermittent cough, and poor feeding for the past four days. His positive result of