Scalded Skin Syndrome Case Study

G4 P3003 (4 Gestations, 3 Full Term, 0 Preterm, 0 Miscarriages, 3 Currently Living); 3 Spontaneous Vaginal Deliveries; Last birth was 7 years ago by SVD, weighed 4000 grams; No previous obstetrical complications or morbidity; No past medical history; No past surgical history; No prior antenatal care

Steve was born in Boca Raton, Florida after a full term 40 week pregnancy. Mrs. Ross did not report any use of alcohol, tobacco, and/or drugs during or after her pregnancy. According to Mrs. Ross, the doctors reported that, Steve would be born with Down Syndrome. She also stated that, Steve was born one day after his due date. Therefore, doctors were required to perform an emergency vagina delivery. Mrs. Ross’ active labor was only 45 minutes and Steve was born head first. Steve’s birth weight was 7lb 2oz and his length was 19 inches. Although, Steve was not born prematurely, Mrs. Ross stated that, he was born with Pulmonary Edema, or fluid in his lungs. After his diagnosis, he spent several weeks in the Neonatal Intensive Care Unit (NICU). Steve was given Penicillin to treat the Pulmonary Edema and later

The patient population is the preterm babies that are less than 37 weeks’ and weight

After earning his doctor of medicine from the Medical College of Georgia, Dr. Allen Cherer undertook an internship and a residency in pediatrics through the University of Louisville School of Medicine/Kosair Children's Hospital. He holds certification through the American Board of Pediatrics and the Sub-Board of Neonatal-Perinatal Medicine. Dr. Allen Cherer is also official educational provider through the Neonatal Resuscitation Program (NRP).

On today’s evaluation, she is 19 weeks and the fetal measurements overall are concordant. The long bone measurements are within one week of her dates. The amniotic fluid volume is normal, and the cervix is long and closed. A complete fetal anatomical survey was performed and a significant amount of ventriculomegaly/hydrocephalous was identified but no other major malformations were noted at this time, though due to the

There were multiple conditions on the differential, but ultimately a skin biopsy confirmed a diagnosis of Staphylococcal Scalded Skin Syndrome (SSSS). SSSS is a syndrome of acute exfoliation of the skin typically following an erythematous cellulitis. The severity varies from a few blisters localized to the site of infection to a severe exfoliation affecting almost the entire body. SSSS is caused by epidermolytic toxins produced by certain strains (5%) of Staphylococci and is usually seen in neonates and young children. The toxins act at the zona granulosa of the epidermis causing cleavage of desmoglein 1 complex, which is an important protein in desmosomes that anchor keratinocytes to each other. This results in the formation of fragile, tense

The child in the most immediate concern is Lydia Pederson. She is now 9 months old and was taken to the hospital via ambulance due to Lydia being limp and unresponsive in the cot. The child was report to be grizzle and unsettled for a few days and the foster carer report that she has had trouble keeping fluid and solids for a few days, and she has had not wet nappies today.

The purpose of undertaking placements within a degree enables students to practice in a controlled learning environment with a supervisor to develop an appreciation of the role of pharmacists in the health care system. The extra 24 weeks of placement in Canadian programs is attributed to the supervised hours required during an internship. This allows a Canadian and Australian student to begin a pharmacy undergraduate program and enter the workforce as a professional at relatively similar times.

For external use only, if bag busts dispose of it immediately. Prolonged skin exposure to the chemicals can cause dry and red skin. If the chemicals do get onto skin wash the area with soap and water, then contact a physician. Do not inhale the chemicals, calcium chloride can create lesions in the mucous membranes that line the nose, throat, and lungs if inhaled regularly. If you begin coughing or have a sore throat, the IPCS recommends moving into a well-ventilated area and resting until your symptoms subside. If symptoms persist, see your doctor.

His course has been complicated by one episode of dactylitis and two episodes of acute splenic sequestration. Therefore, he had a single lumen port placement surgery for chronic transfusion therapy. Also, he had a partial splenectomy in 8/23/2016. Mariano is maintained on Amoxicillin for prevention of further sickle cell complications. The first Acute sickle cell splenic sequestration crisis was in 7/9/2014 that involved Initial Hgb 5.8, PLT count 153, splenic palpation presents 2 finger breadths below the left costal margin. He received two 5 mL/kg antigen matched, leuko reduced packed red blood cell transfusions spaced with a number of hours between transfusions. He was discharged with Hgb of 8.5. The second splenic sequestration crisis was in 8/14/2014 with initial Hgb 5.0, PLT count 62 and the spleen was palpable 3 cm below the left costal margin. He received 1 packed red blood cell transfusion. Upon discharge Hgb 7.5 and the spleen tip was not palpable. In 12/6/2015 he was admitted to the hematology unit for three days due to fever 102, positive culture of Rhinovirus and viridans group streptococci, and right leg pain crisis. In 11/17/2015 he was admitted for 2 days for fever of 101, but blood cultures and chest X-ray were negative. Ultimately, in 8/23/2016 when he became 3-year-old, he had a partial splenectomy. He is maintained on Amoxicillin for prevention of further sickle cell

Rozel’s mother was in labor for a long period of time while giving birth to Rozel that it decreased the supply of oxygen that Rozel received during delivery. Her mother had an induced labor to facilitate childbirth and she was able to give birth to Rozel through normal delivery. At birth, Rozel was successfully resuscitated due to the difficulty of breathing. She was diagnosed with laryngomalacia which causes partial blocking of the airway opening. She was then hospitalized for one month and received medicines through injections but her mother could not recall the names of the medicines. During her hospitalization, Rozel had convulsions. There was no sound produced when she cried. A neonatologist/pediatrician diagnosed Rozel with developmental

SCID is characterised by the complete loss of immunity that is provided by the T cells as well as reduced functioning of C cells. Every year, the condition affects between 1:50,000 and 1:100,000 newborn babies. According to Rezaei, et al., (2008), the rate of incidence of SCID in newborn babies may be even higher than this due to the number of cases of children who die before doctors can make a positive diagnosis of the disease (Allenspach, et al., 2003). Without a bone marrow transplantation or gene therapy intervention, X-SCID is fatal within the first two years of life. Children who are born by parents without a comprehensive family medical history are usually hospitalized between the ages of six months and three years due to the development of oral candidiasis, recurrent episodes of infections that are caused by opportunistic parasites like Pneumocystis, and failure to develop lymph nodes and tonsils. In addition to this, patients with X-SCID may have rashes, diarrhoea, fever, coughs, and other bacterial infections like pneumonia, and sepsis (Rezaei, et al.,

Birth sibling is a Caucasian male born August 31, 2014, and her father is known. He is the third child born to birth mother. He was placed in the NICU when he was born. He received 0.3 mg of Methadone and Clonidine to help with his withdrawals while in the hospital. He was diagnosed with Neonatal Abstinence Syndrome by his doctor. He does not have any other health or psychological problems.

He indicated with Carson, she was deficient in enzymes requiring daily injections of an enzyme. The child was healthy at birth. He doesn’t recall how regularly he attended the OBYN visits. The father stated that he was present for sonograms.

Prince is a 14-month old boy, derived by Dr. Tonya McDonald for a Physical Therapy evaluation. Patient has diagnosed with Developmental Coordination Disorder of motor function. Patient's mother is present during evaluation and the mother is present for the assessment and provides important information about her child's medical history. Prince at this time is able to crawl. Prince is able to perform transitional movements from floor to standing but with an unstable balance due to his RLE is more affected in his muscle strength and ROM. Patient bend his LES when he is facilitated to stand against gravity. Mother reported he was scooting on sitting before, but only recently he started to use all four extremities to crawl and transfer to stand