Blunt Abdominal Trauma and Child Abuse

Summarize how each article relates to the patient diagnosis (Blunt Abdominal Trauma and Child Abuse).

Summary Case #1
Perrigo, J. L., Berkovits, L. D., Cederbaum, J. A., Williams, M. E., & Hurlburt, M. S. (2018). Child abuse and neglect re-report rates for young children with developmental delays. Child Abuse & Neglect, 83, 1–9.

How would you diagnose and manage this 17-year-old male whose symptoms include palpitations, fever and malaise? To diagnose and manage Robert Ross, a complete physical examination, a carefully family history, head to Toe assessment, social history, laboratory testing, cardiac and lung studies will provide adequate and necessary data to a proper diagnosis and better outcomes. Many diagnostic modalities used to evaluate dyspnea can be performed in the family clinic ‘s office. The basic evaluation is directed by the probable causes suggested in the history and physical examination. The most common organic causes of dyspnea are cardiac and pulmonary disorders

The most useful methods of evaluating chest pain and dyspnea are the electrocardiogram and chest radiographs. They can help confirm or exclude many common diagnoses. The electrocardiogram can show abnormalities of the heart rate and rhythm, or evidence of ischemia, injury or infarction. Voltage abnormality suggests left or right ventricular hypertrophy if the voltage is excessive, or pericardial effusion or obstructive lung disease with increased chest diameter if the voltage is diminished.

A chest radiograph can identify skeletal abnormalities, such as scoliosis, osteoporosis or fractures, or parenchymal abnormalities, such as hyperinflation, mass lesions, infiltrates, atelectasis, pleural effusion or pneumothorax. An increased cardiac silhouette can be caused by increased pericardial size or increased chamber size. A complete blood count can quantify the severity of suspected anemia. Thyroid abnormalities rarely present with dyspnea and can be assessed by measurement of the serum thyroid-stimulating hormone level. Since the patient has been pale, and diaphoresis. Which diagnostic studies would you recommend for this patient. Include the rationale for ALL diagnostics and Labs?

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