A 9-month-old boy is brought in by his grandmother. He has been “fussing” for 2 days, but eating, drinking, and voiding normally. He cried most of last night and felt warm to the grandmother, but she did not have a way to check his temperature. What additional diagnostic tests do you need? What exam findings would support two possible diagnoses? Present your plan for both of the possible diagnoses. What additional history and systems review would you need? Support your answer with a minimum of two APRN-approved scholarly resources. Please use references within the last 5 years
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Additional diagnostic testing that might support a diagnosis includes a thorough physical examination, temperature measurement to assess for possible fever, and urinalysis to assess for concerns of dehydration are additional signs of infection. Possible laboratory results might include CBC, and CMP to evaluate infection, anemia, and electrolyte abnormalities. If warranted imaging studies including possible chest X-ray to rule out pneumonia or abdominal pathology. This should be a last-case scenario due to the patient’s age, the less radiation the better. If the concern is for COVID, Strep, influenza or RSV, PCR swabbing may be conducted at the bedside.
Diagnosis 1: Viral Infection
Diagnosis 2: Urinary tract infection
Also use this template as a reference that is attached as all of this information must be in the answer.
