Pediatric Concept Map
Pediatric Concept Map
Case Study for Peds Concept Map
History of Present Illness
LL 7 years old male with severe abdominal pain admitted to hospital PICU with diagnosis of Appendicitis. The pain started a day before and it was so severe that patient couldn’t even walk. Blood work up shows significant leukocytosis. Urine is concentrated, umber color.
WT: 22.5kg
Ht: 54 in
BSA: 0.91m2
BMI: 12.0kg/m2
CT abd/pelvic shows retrocecal appendix with diam. Approximately 1.3 containing complex fluid and 3 appendicoliths the largest apprx. 5mm. No air seen.
Patient has no nausea or vomiting, NPO
Alert and oriented x 4
No sensory abnormalities
- S
BP 125/79
RR 25
Pulse 92
O2 98 Room Air
T 100.8
Pain 6 on FACE scale
Abdomen is tender, guarding.
Bowel sounds Active RLQ. Bladder – Normal
No Cardiac disorders
Subj. Data
L.L. 7-year-old male presenting RLQ abdominal pain states constant sharp pain and worst with movement.
Past Medical History
Previously healthy male with No past medical history, No surgery.
Psychosocial history
Patient leaves with mom, dad and 5 siblings. He’s the youngest in his family. No signs of physical, sexual abuse. Dad is rooming with the patient the whole time, playing video games, showing love and support.
CT abd/pelvic shows retrocecal appendix with diam. Approximately 1.3 containing complex fluid and 3 appendicoliths the largest apprx. 5mm. No air seen.
Patient has no nausea or vomiting, NPO
Alert and oriented x 4
No sensory abnormalities
- S
BP 125/79
RR 25
Pulse 92
O2 98 Room Air
T 100.8
Pain 6 on FACE scale
Abdomen is tender, guarding.
Bowel sounds Active RLQ. Bladder – Normal
No Cardiac disorders
Subj. Data
L.L. 7-year-old male presenting RLQ abdominal pain states constant sharp pain and worst with movement.
Past Medical History
Previously healthy male with No past medical history, No surgery.
Psychosocial history
Patient leaves with mom, dad and 5 siblings. He’s the youngest in his family. No signs of physical, sexual abuse. Dad is rooming with the patient the whole time, playing video games, showing love and support.
