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Faduma Case
Faduma Case
GROUP 3
Assessment
Faduma is 18 months old. She was brought to the clinic because she is
sick and had an itching rash. This is her first visit to the clinic for this
problem. Her temperature is 37 degrees and she weighs 6 kg.
Faduma does not have any general danger signs. Faduma was
assessed for the main symptom of cough or difficulty
breathing, she has been coughing for seven days. We counted
43 bpm, therefore at 18 months old, she does have fast
breathing. We saw no chest indrawing. We could hear no harsh
sound as Faduma breathed in therefore, she does not have
stridor.
When offered a drink, Faduma drank normally. When her skin was
pinched, the skin went back very slowly taking longer than two seconds.
Therefore, we classified Faduma as having diarrhea with severe
dehydration and she has had diarrhea lasting less than 14 days. She is
not classified as having persistent diarrhea.
WEIGHT: 6KG
TEMPERATURE: 37 C
IMCI CHART
GROUP 3
7 43
>14
Some illness
No illness
Assessment of Lungs
COUGH OR DIFFICULTY BREATHING?
FOR HOW LONG: 7 DAYS
STRIDOR : NO
CHEST INDRAWING: NO
BPM: 43 Breathes Per Minute (FAST BREATHING)
PNEUMONIA
Dehydration
DIARRHEA: YES
DYSENTERY: NO
FOR HOW LONG: 6 DAYS
LETHARGIC OR UNCONSCIOUS: NO
RESTLESS AND IRRATABLE : NO
SUNKEN EYES: YES
SKIN PINCH TEST: VERY SLOW >2 secs
DRINKING POORLY: NO
SEVERE DEHYDRATION
EAR ASSESSMENT
EAR PROBLEM: YES
EAR PAIN: NO
EAR DISCHARGE: YES
HOW LONG: 3 WEEKS
PUS DISCHARGE DURING ASSESSMENT: YES
EAR TENDERNESS: NO CHRONIC EAR INFECTION
MALNUTRITION
SEVERE WASTING: YES
EDEMA: NO
PALLOR : SOME SEVERE MALNUTRITION
OR SEVERE ANAEMIA
TREATMENT
PATIENT HAS PNEUMONIA SEVERE DEHYDRATION
FAST BREATHING - COUGHING DIARRHEA [6DAYS] - SUNKEN EYES
- VERY SLOW PINCH TEST
Soothe the throat and relieve the GIVE FLUID - TEST FOR
cough with safe remedy CHOLERA [IF POSITIVE GIVE
ANTIBIOTIC] - ADVISE TO
CONTINUE BREASTFEEDING
IV FLUIDS FOR THE FIRST 30 MINS = 30ml x 6kg
360ml/hr or 180ml for 30mins
GROUP MEMBERS:
Afshaneen Al-shaud
Grace Camino Guira
Janelle Montealegre
Jezhiecka Mae Cortez
Joriz Niccolo Fontelara
Khyla Valenzuela
Kimberly Clarisse Vega
Reichelle Waperina
Shaira Mae Sager
Trisha Maraya Tadefa
Yzabelle Suralta
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