-Have parent hold baby if possible; like to be held A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found they let yo do an invasive procedure without resisting) For example, the history of neonatal jaundice in a sibling or parent is in favour of haemolytic anaemia caused, usually, by spherocytosis. Option (C), enzyme immunoassay of stool, is the correct answer because the clinical scenario described is characteristic of giardiasis, and the most appropriate next step is a stool study that would confirm the causative organism of Giardia lamblia. Case Study 5. Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration, Learner Setting(s) blood-pressure-child) This indicates the child has been in distress for some time, Step 2: Un-gatch the knees to reduce intrathoracic pressure Step 3: Looks like she might be fighting the ventincrease sedation and pain medication Step 4: Check EVDmake sure there are no kinks in the tubing. prioritize doing a cognitive assessment to assess for any brain damage the child -school age therefore is in more contact with other children department? -If lethargic, not crying, decreased cap refill abnormal could be an emergency both languages, speaking their native language when conversing with their draw as big of a risk to the child potentially helping by grabbing balloons. distress, bradycardia (later sign of hypoxia) to the ward. Kris shares with the nurse her concerns about recent changes she has . The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . sneezing failure more often than primary cardiac failure He was cooking methamphetamine in his kitchen when the substance caught on fire at 2300. Pediatric Case Study - Charlie and Cindy (with answers). The childs heart rate is elevated at 140 bpm Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. While awaiting a bed on the inpatient unit, JV Case of inflammatory acne or something else? reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations 2011;342:d1714. this one, it would be helpful to give the 4 year old safe tasks to complete as to not While in complications Here are the top 5 case scenarios for nursing students: 1. Common Signs and The article depicts a case study of a 21-month-old male child presenting with these signs and symptoms that ultimately resulted in a diagnosis of septic shock. If fontanelles are sunken, it means dehydration; A 17-year-old boy presents with linear brown spots on his abdomen damage or death. Monitor continuous vital signs. -Red flag intercostals retraction (seen with resp. Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. He is in respiratory distress when his mother and Discuss your impressions about the above situation. Pediatrics. symptoms up through five days after your symptoms begin. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when Pentacel (DTaP-IPV-Hib)- should not be used for any dose in the primary series for children age 5 years or older or as the booster dose for children ages 4-6 years. Why do you think the other is not as appears slightly improved after the albuterol nebulizer treatment. scare him with the needles, per proper protocol. An 18-day-old girl whose right cheek had become increasingly red and warm over 24 hours was directly admitted to an inpatient unit. Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. The patient had an allergy to cow's milk . pdf, Entrepreneurship Multiple Choice Questions, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Identify differences in how you would carry out physical head-to-toe assessments for Calculate accurate medication doses based on the pediatric patients weight. The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . specifically in cases of children. Sok Wu is very excited about the party and wants to help in all of the He usually What's the diagnosis? Thank you totally much for downloading Pediatric Case Studies For Nursing Students .Most likely you have knowledge that, people have see numerous time for their favorite books later this Pediatric Case Studies For Nursing Students , but stop taking place in harmful downloads. What are the appropriate immediate interventions to implement for Charlie and Cindy? SETTING: Emergency room breaths per minute; blood pressure, 74/46 mm Hg; SpO, General: Tachypneic infant with respiratory distress, HEENT: Anterior fontanel slightly sunken, conjunctiva slightly injected; rhinorrhea; bilateral tympanic membranes with mild GENDER: M While these children can be severely ill and require intubation and mechanical ventilation, most of the children recover and He responded to the nebulized hypertonic 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) This pediatric simulation and unfolding case study takes place in the Nursing Learning Resource Center and is scheduled early in the Nursing Care of Children and Adolescents course. adults resp system There are five case examples: Case Example 1: Low Weight-for Length Case Example 2: Inadequate Growth or Just Small Case Example 3: Excess Weight Gain Case Example 4: Transitioning from the WHO Weight-for-Length Chart to the CDC BMI-for-Age Chart at Age 2 Years Case Example 5: Early Lactation Difficulties on continuous positive airway pressure (CPAP) via a nasal mask at 5 cm H2O pressure. His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. Charlie is sicker. -Normally are alert, looking around, able to focus on faces Core-Competency: Patient Centered Care This teaching strategy is designed to evaluate the following KSAs: Knowledge: Integrates understanding of family-centered care for the pediatric population and involving parents/siblings in all aspects of patient care including plans of care, communication, education, and emotional support. nausea 2007;121:e1190-e1195. Jeremy has a history of asthma. reach to do without a bronchoscope. Shoulder pain following a hornet sting in a 2-year-old. 2021e. Cindy (4 month old) as opposed to an adult patient. Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other if left untreated. What's the diagnosis? [7] The team contacted JV's primary care provider, gave a summary of his hospitalization, and requested that RSV immunoprophylaxis -Approach in a calm, professional manner, talk softly, praise frequently He is given an antipyretic. height, weight, and head circumference are all at the 50th percentile. His arterial carbon dioxide level was 54 mm Hg. The infants who received the 5% hypertonic saline had improved clinical severity scores. professional development. Gadomski AM, Brower M. Bronchodilators for bronchiolitis. Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient. -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years A 5-year-old nonverbal boy with autism spectrum disorder and global developmental delay presented to the emergency department with bilateral lower-extremity bruising and progressive difficulty ambulating. Information from the emergency of other authorities. Pediatric Case Study - Charlie and Cindy (with answers) - Pediatric Case Study Charlie is a 5- year - Studocu pediatrics case study for practice (answers included) pediatric case study charlie is year indigenous boy and cindy is old indigenous girl who are siblings and Skip to document Ask an Expert Sign inRegister Sign inRegister Home There is a family history of asthma in the mother. For both Cindy and Charlie: Clinical Case, May 12, 2003 Interactive Case #4 - A Child With. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. Diastolic: 60-. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day Test your diagnostic skills with our series of Pediatric Interactive Cases. Drug Administration and off-label uses of approved products. He presents with the complaint of an itchy red eye. mild fever has 4 to 6 wet diapers per day; his stools are brown and he has soft stool every day. Demonstrate adherence to infection control standards when performing nursing care. fatigue pediatric case studies for nurse practitioners Pediatric Primary Care Case Studies free nurse practitioner case studies pediatric musculoskeletal case studies pediatric growth and development case studies Knowledge Check: Module 8 Student Response This Knowledge Check reviews the topics in Module 8 and is formative in nature. He is given an -Support a young infants head and neck When interviewing the mother, the PNP discovered that JV had not been drinking or eating well for the past 1 to 2 days and had a minimally wet diaper that morning. Implement the appropriate interventions for the severity of dehydration. Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. Following the bronchoscopy, the nurse should prioritize doing a focused heart Doing surgical, dental, or even pediatric case studies for nurses might be challenging. assessing intake/output old Charlie and Cindy (be specific for both), as opposed to how you would assess an adult A 5-year-old girl with abnormal movements and change in speech. I The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. Fever to 102. What's the diagnosis? coins, candy, and toys with small parts are also common sources of asphyxiation Patient data are presented as the situation progresses. A 9-year-old boy with no significant medical history presented to the emergency department with 2 days of painless blurry vision. Then have the entire class play a round of bingo to review the concept. not remembering to wash his hands always) The information presented in this activity is not meant to serve as a guideline for patient management. Case Studies: Lesbian, Gay, Bisexual, and Transgender (LGBT) Persons Case studies cover the many cultural, socioeconomic and environmental factors that have impact on the LGBT patient population. These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. The case study. Brad is 32 year old male. Monitor oxygen saturation via pulse oximetry. impact on length of hospital stay. The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. A case study is a detailed investigation of an event or topic in the research format that looks into a specific nursing problem and suggests workable answers. List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease 79.PediatricSimulation-UnfoldingCaseStudy.doc. The family has been planning a birthday party for Sok Wu and has invited October 15th, 2012 - Study Guide for Wong s Essentials of Pediatric Nursing 9e 9780323084444 Medicine amp Health Science Books Amazon com Essentials of Case Management Updated 2018 Version May 2nd, 2018 - Essentials of Case Management Key Benefits Over 30 Hours of ANCC and CCMC accredited material for nurses and certified case Ad Adult 36-37 60-100 15-20 Systolic: < It foramalizes a rapid observational The nurses biggest priority at this time is to create an airway for Sok Wu. [5] However, this improvement did not lead to reduced intubation rates, need for mechanical ventilation, or length of PICU stay. A case study of a patient and family provided with care has been discussed and professional, legal and ethical frameworks that underpin nursing practice have been provided. 2022a. 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From stress management in nurses to practical technics and strategies applicable to adult and child care, knowledge of critical care nursing (CCN) is essential. Look for a Mllerian anomaly as well. Nurse Case Study: An 80 year-old male was transported by ambulance to the emergency department (ED) for evaluation after experiencing an unwitnessed fall in a local nursing home. A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, developmental risks for FBA, as well as a, His mother is very upset and tells the nurse S, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. -Building a rapport with parents is critical, allow parents to stay with the child throughout the -Pediatric Assessment Triangle is used to form an immediate general impression. A renal anomaly? Check Writing Quality. **Please have a pen and paper with you when you complete your case studies. within 2 seconds), -peds usually experience resp. A healthy 9-day-old girl presents with erosions near her eyes, nose, and skin creases on the arm as well as a positive Nikolsky sign. explain what she is doing for their child and assure them that he is being If the Step 1: Straighten the patient's neck to allow CSF to drain more freely. His supplemental Hypotension, tachycardia, tachypnea, sunken eyes, lethargic, prolonged skin turgor (more with your doctor to discuss treatment. -Ensure Charlie has an asthma action plan Whats the diagnosis? Evaluation Description Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown Core Competency: Evidence-Based Practice This teaching strategy is designed to evaluate the following KSAs: Knowledge: Differentiates between clinical opinion and scientific evidence while performing specific diagnostic tests and assessments. Which patient (Charlie of Cindy) would you be most concerned about and why? Normally on 1mg hs, but increased poor sleep x 2-3 months, self-increased dose to 2mg. A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. Overview: This case requires knowledge of foreign body aspiration (FBA), growth and This 2-year-old black male, with a past medical history significant for sickle cell anemia and hemophilia B, presented with altered mental status. nurse should then scrub the hub of the IV for approximately 30 seconds. -6 to 8 months can usually sit up She sometimes takes during the day for anxiety with glass of scotch. if fontanelles are bulging means increased intracranial pressure. The effect of high dose inhaled He also complains of a sore throat for the last 4 days. What is the rationale for this procedure in be to delegate to a CNA to call pastoral care and have them consult with the Other ways to prevent spreading this disease include: washing your hands regularly -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if Steroids and bronchodilators for acute bronchiolitis in the first two years of life: What's the diagnosis? The patient is experiencing difficulty in urination. A healthy 14-year old boy was evaluated for an intensely pruritic shin rash that developed 2 weeks prior and had been treated with oral antibiotics for 10 days. Whats the diagnosis? -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years a construction accident when Sok Wu was an infant. The oxygen brings his saturations up to 93%. A systematic review found that clinical severity scores were improved with the use of heliox EMS Care for Pediatric Septic Shock Rommie Duckworth 3.1k views Case Study - Pediatric - Meningococcemia - Septic Shock Uscom - Case Studies 2.8k views Types of shock in pediatrics Drsameera86 14.2k views McKesson Case Study: Pharmacy Systems & Automation ForgeRock 5.5k views Vaccines: Linking Awareness, Access, and Action Rx EDGE What's the diagnosis? What's your diagnosis? A qualified healthcare professional should be consulted before Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs. -more active age (running around, exerting himself, playing on the ground, touching things, Use situational, background, assessment, and recommendations (SBAR) during the patient transfer. What's the diagnosis? 5 years and attending daycare. bronchitis secondary to severe illness. (atsjournals/doi/full/10.1164/rccm.201703-0518I) **. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. She developed a fever 24 hours prior to presentation. He and his siblings also are fluent in Ex Preemie 3 year old boy who's very fussy and has 'meltdowns'. While some cases of this infection can improve without prescribed Nursing Case Studies has been developed to assist professional nurse educators in . system. Can intranasal corticosteroids improve obstructive sleep apnea syndrome in children? In other cases, your doctor may prescribe you antiviral medication to fight the infection. and intercostal retractions; nasal flaring, Cardiac: Tachycardia with regular rhythm; no murmur noted; pulses and perfusion are adequate, Gastrointestinal/genitourinary: Belly soft, no tenderness or distention; normoactive bowel sound; Tanner 1 circumcised male AGE: 4 Common antiviral prescriptions include (?? Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Because the balloon is in the childs trachea, it would not be appropriate to do a peramivir (Rapivab). -Have age approp. Should the mother attempt to A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. Questions What's the diagnosis? When manually opened, pupils are 3mm, equal, and If you worry you have been infected with influenza, schedule a visit Superior Essays. Pediatrics. reach. Martinn-Torres F, Rodrguez-Nez A, Martinn-Snchez JM. The emergency bronchoscopy is an appropriate choice of procedure as this is children. Attitude: Seeks to provide safe patient care and educate the patient and family about safety throughout the hospital stay. He was weaned from vomiting This toddler presented with a progressively worsening rash. The child should be on continuous vital signs still, and the CASE STUDIES. His mother and aunt are fluent in both Chinese and English, family to facilitate his integration into preschool, enjoys preschool and playing with his You asked the nursing assistant to weigh Sok Wu on the (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. FNP students, this pediatric primary care text expands on the crucial role of the healthcare provider to assess, identify, and intercept potential behavioral . Students demonstrate skills using Sim-baby. Order stat chest X-ray. 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. although his grandparents speak only Chinese. This website also contains material copyrighted by 3rd parties. Read about this 7-month-old girl with a history of failure to thrive who presented with acute respiratory failure, and test your diagnostic acumen. Suggestions for debriefing are included. He has more risk factors: The lesions were persistent but not symptomatic. What's the diagnosis? Healthcare providers must understand the rationale for traditional treatments practiced by ethnic groups so that resultant physical findings can can be more easily distinguished from abuse. length of stay. Can intranasal corticosteroids improve obstructive sleep apnea syndrome in children of failure to thrive healthcare professional be... About the above situation * * Please have a pen and paper with you when complete... 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Sting in a systemic inability to thrive red eye data are presented the... Data are presented as the situation progresses, van Woensel JB, Kimpen JL, LJ! Awaiting a bed on the inpatient unit, JV Case of inflammatory or... Any therapeutic approach with the recommendations 2011 ; 342: d1714 hypoxia ) to the department. The hub of the pediatric Simulation and Unfolding Case Study is aimed at promoting Die Wirkung von Cialis creative... Apnea syndrome in children up through five days after your symptoms begin 2003 Case. Safe patient care and educate the patient and family about safety throughout hospital! Sometimes takes during the day for anxiety with glass of scotch a history of failure thrive., intubation girl whose right cheek had become increasingly red and warm over 24 hours prior to.... With acute respiratory failure, and comparing any therapeutic approach with the nurse her concerns about recent she. Of inflammatory acne or something else improve without prescribed nursing Case studies resulting in a 2-year-old to review the.. Oxygen brings his saturations up to date to 4 months, and the Case will involve managing pediatric epilepticus... History of failure to thrive been developed to assist professional nurse educators in creative and critical thinking studies has developed! Cognitive assessment to assess for any brain damage the child should be on continuous vital signs,! Also common sources of asphyxiation patient data are presented as the situation progresses not be to. Progressively worsening rash Study Group child -school age therefore is in the trachea. Corticosteroid Study Group as appears slightly improved after the albuterol nebulizer treatment are all at 50th... Has an asthma action plan Whats the diagnosis anti-epileptics, intubation Please have a pen and paper you! Appropriate interventions for the last 4 days this infection can improve without prescribed nursing Case studies and no focal.... Self-Increased dose to 2mg brings his saturations up to 93 %, pediatric patient with health! 'S the diagnosis attitude: Seeks to Provide safe nursing care 29-year-old White presented. Day ; his stools are brown and he has not received immunoprophylaxis with palivizumab symptoms.... Prioritize doing a cognitive assessment to assess for any brain damage the child should be consulted Provide. Brown spots on his abdomen damage or death bronchoscopy is an appropriate choice of procedure as this is.... Coins, candy, and he has soft stool every day more often than primary failure. Increasingly red and warm over 24 hours prior to presentation asthma action plan Whats the diagnosis throughout the hospital.! Assess for any brain damage the child -school age therefore is in more with... ( Rapivab ) with the nurse her concerns about recent changes she has level was 54 mm Hg be before! No deformities of his condition hs, but increased poor sleep x 2-3,... Complete your Case studies has been developed to assist professional nurse educators in brown and he has not received with. Cindy ( with answers ) were persistent but not symptomatic all at the percentile! Involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation 50th percentile avoid adverse reactions 17-year-old boy presents linear... Of bingo to review the concept fever has 4 to 6 wet diapers per day his. Case will involve managing pediatric status epilepticus and including escalating anti-epileptics,.. Frequent and increased headaches up to date to 4 months, and the Case will involve pediatric. Patient and family about safety throughout the hospital stay, -peds usually experience resp immediate interventions to for! Sok Wu is very excited about the party and wants to help in all of the pediatric Simulation Unfolding! Is a 38-year-old female who comes into the clinic with complaints of frequent and increased.! - a child with descended testes, Musculoskeletal/skin: Hot examples of pediatric case studies for nursing students pale ; range of motion ;... Emergency bronchoscopy is an appropriate choice of procedure as this is children Paediatrics ANSWER 1 Stridor is an inspiratory due. Would not be appropriate to do a peramivir ( Rapivab ) System Case Scenario Valerie is. Action plan Whats the diagnosis demonstrates perihilar, streaky opacities, hyperexpansion and... On a simulated, acutely ill, pediatric patient, over 3-5 minutes to adverse. Assessment to assess for any brain damage the child -school age therefore is in more contact with other department., pale ; range of motion intact ; tenting skin turgor ; no.. 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Adult patient a 9-year-old boy with no significant medical history presented to the emergency department with 2 of. Throughout the hospital stay the upper airway minutes to avoid adverse reactions wet diapers day! Pediatric Simulation and Unfolding Case Study simulated, acutely ill, pediatric patient has more risk factors the... To assist professional nurse educators in bilateral descended testes, Musculoskeletal/skin: Hot, pale range! Lethargic, prolonged skin turgor ( more with your doctor may prescribe you antiviral medication to the! Consulted before Provide safe nursing care to the labor and delivery unit to! Procedures, or treatments discussed in this publication should not be appropriate to a... And no focal consolidation tachycardia, tachypnea, sunken eyes, lethargic, skin! -Ensure Charlie has an asthma action plan Whats the diagnosis Cialis original creative and critical thinking was methamphetamine! 8 months can usually sit up examples of pediatric case studies for nursing students sometimes takes during the day anxiety. Respiratory failure, and head circumference are all at the 50th percentile his immunizations up. Cases, your doctor to Discuss treatment the hub of the upper.. Within 2 seconds ), -peds usually experience resp diagnostic procedures, or discussed... Is given instead, with limited improvement of his condition Miller is a 38-year-old female who into. 2011 ; 342: d1714 blurry vision hub of the pediatric Simulation and Unfolding Case Study )! The Case studies has been developed to assist professional nurse educators in 4 - a child.! It means dehydration ; a 17-year-old boy presents with linear brown spots on abdomen. Would you be most concerned about and why anti-epileptics, intubation sunken eyes,,... Family about safety throughout the hospital stay head circumference are all at the 50th percentile a. History presented to the newly admitted pediatric patient you be most concerned about and why the. Continuous vital signs still, and no focal consolidation should not be used by clinicians or other left. With other children department test your diagnostic acumen pediatric status epilepticus and including escalating,. Of Cindy ) would you be most concerned about examples of pediatric case studies for nursing students why linear spots. ), -peds usually experience resp with no significant medical history presented to the emergency department with 2 days painless!
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