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Week 4 Discussion Part I: Innocent versus Pathologic Murmur

Week 4 Discussion Part I: Innocent versus Pathologic Murmur

Week 4 Discussion
PART I All students are required to complete Table 1-9 Download Table 1-9as a component of the discussion. Completing these exercises will assist you in preparing for the discussion, weekly quiz, and the Competency Exam. The Burns Text should be the predominant resource used to complete the tables.PART II Identify the prompt in the subject line of your post, for example, Case Scenario 1 – KeishaComplete all Part II elements of the discussion: Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives.Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.Case Scenario 1: Keisha has come in for her annual well-child visit. Keisha enjoys preschool, she has been a healthy child, and she is at the 50% for height and weight. On exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.What additional information should the APRN know about Keisha?What tests should the APRN order?What should the APRN specifically include in the cardiac physical examination?How should the APRN approach referrals?
Week 4 Discussion Part I
Table 1
Innocent versus Pathologic Murmur
Auscultatory Findings- Innocent versus Pathologic Murmur
Innocent Murmur – list 4 and describe the
auscultatory findings
Pathologic Murmur – list 4 and describe the
auscultatory findings
Table 2
Pediatric Cardiac Conditions
Complete the table.
Cardiac Condition
Atrial Septal Defect
Ventricular Septal Defect
Tetralogy of Fallot
Coarctation of the Aorta
Transposition of the Great
Arteries
Description
Clinical Findings
Treatment/
Management
Table 3
Differential Diagnoses for vomiting
Fill in the table with 5 common differential diagnoses for a chief complaint of vomiting.
Differential
Description
Clinical
Findings/Presentation
Management
1.
2.
3.
4.
Table 4
Do Not Miss GI Conditions
Fill in the following
Condition
Foreign Body Ingestion
Appendicitis
Intussusception
Hirschsprung Disease
Pyloric Stenosis
Description
Clinical
Features/Presentation
Management
Table 5
Enuresis
List 4 differential diagnoses for enuresis.
Differentials
Description
Clinical
Findings/Presentation
Management
1.
2.
3.
4.
Table 6
GU Anomalies
Complete the requested information related to Common Genitourinary Anomalies
Brief
Pathyphysiology
Hypospadias
Epispadias
Hydrocele
Cryptorchidism
Testicular
Torsion
Description
Clinical
Features
Management
Table 7
Respiratory Conditions in Children
Complete the information.
Condition
Causative Agents
Clinical Findings
Treatment/Management
URI “common cold”
Allergic rhinitis
Rhinosinusitis
Bronchiolitis
RSV
Pneumonia
Asthma
Table 8
Differential Diagnoses for Pediatric Cough
List the top 3 differential diagnoses for cc: “cough” in pediatric patients
Differentials
1.
2.
3.
Description
Clinical Findings
Treatment/Management
Table 9
National Asthma Education and Prevention Program Expert Panel Report (EPR3)
Complete the information below.
Asthma Classification and
Step Before Treatment
Step 1: Intermittent
Step 2: Mild Persistent
Step 3: Moderate Persistent
Step 4: Severe Persistent
Symptoms
Nighttime Symptoms
Lung Function

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