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Name of Patient: Kelly Kaye Lee Date: July 1, 2008 Ward: Pediatric
Age: 3 Sex: Female Weight: 15 kg. (33 lbs.) Shift: 3-11
Diagnosis: Acute Tonsillitis Date of Admission: July 1, 2008
A 3 year-old female child was brought to the hospital by her mother due to sore throat for 3 consecutive days. The mother verbalized that she is most worried about the pain felt by
her child especially when swallowing which causes her to eat and drink inadequately. The mother claimed that it started with a simple sore throat described to her as somewhat
itchy so she let the child gargle with saline solution but to no avail. During the second and third days, the child reported to her pain and difficulty in swallowing which made
feeding and drinking problematic, although the mother claimed that her child was still able to feed and drink even in small amounts. For the past 3 days, the child was reportedly
afebrile. When asked on what she thinks might have caused such condition, the mother reported that the child was exposed to the cold weather or “nahamugan” during their
vacation and that the child was very fond of eating sweets and chocolates. Assessment of the child revealed the following:
CASE 2:
A 7–month old female infant was brought to the hospital due to passage of yellowish watery stools for 8 times for the last 48 hours. The mother verbalized her worries since this is
the second diarrhea episode of the infant in the last 2 weeks; the first was due to bacterial infection. Because of this, the mother continued breastfeeding the infant by demand.
However, 2 days ago the infant started passing out yellowish watery stools again, accompanied by frequent flatulence. She also noted that her baby has been irritable and cries
most of the time since the condition started. The mother then increased the infant’s frequency in breastfeeding (since she was unsure in giving the infant ORS and feels that the
infant is not yet ready for semi-solid foods), but this action seemed to aggravate the infant’s condition so she immediately brought the infant to the hospital. Assessment of the
infant revealed the following: