salient features + growth charts
Post on 06-Dec-2015
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SALIENT FEATURES:
History:
5 days PTAo Fever, 38.9oC; Relieved with
Paracetamol 3 days PTA
o Gradual development of BIPEDAL EDEMA
o Gradual Abdominal Enlargement
o Unknown Diagnosis 2 days PTA
o Increasing abdominal girth Maternal and birth history
o Seizures at 1st month of lifeo Unknown diagnosis
Developmental historyo Global developmental delayo Sits alone at age 6; walks alone
by 8 years of ageo Cannot do daily activities alone
Family historyo Asthma—siblings (not further
specified)
o HPN—fathero Hansen’s Disease—maternal
side Socioeconomic
o Lives in congested placeo Water for drinking is from deep
well. Not boiled prior to consumption
PE
Vitalso BP—100/70o CR—132 bpmo RR—26 cpmo T—37OC
Anthropometricso Wt—23 kg (IBW of 26kg)o Ht—129cmo BMI—13.821 o AC—67cm
Cervical Lymph adenopathy Globular abdomen, (+) hepatomegaly (+) grade 4 bipedal edema Neurological exam was unremarkable
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