Diagnosis and Management of Genitourinary Disorders
Diagnosis and Management of Genitourinary Disorders
Discussion: Diagnosis and Management of Genitourinary Disorders Assignment: Board Vitals Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms. Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions. In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies. Case Study 2 Jacob is a 1.5 week old brought in by his distressed mother. While changing his diaper last night, she noted that his penis was edematous and erythematous. He has been crying and fussy. Per mom, no other complaints. He’s been breastfeeding every 1-2 hours without any issues. PE: Stable VS and growth patterns. Essentially a normal examination with the exception of a slightly erythematous and edematous glans penis with retracted prepuce. To prepare: Review “Genitourinary Disorders” in the Burns et al. text. Review and select one of the three provided case studies. Diagnosis and Management of Genitourinary Disorders
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Analyze the patient information. Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments. Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder. By Day 3 Post an analysis of your assigned case by responding to the following: What additional questions will you ask? Has the case addressed the LOCATES mnemonic? If not, what else do you need to ask? What additional history will you need? (Think FMH, allergies, meds and so forth, that might be pertinent in arriving to your differential diagnoses). What additional examinations or diagnostic tests, if any will you conduct? What are your differential diagnoses? What historical and physical exam features support your rationales? Provide at least 3 differentials. What is your most likely diagnosis and why? How will you treat this child? Provide medication treatment and symptomatic care. Provide correct medication dosage. Use the knowledge you learned from this week’s and previous weeks’ readings as well as what you have learned from pharmacology to help you with this area. Patient Education, Health Promotion & Anticipatory guidance: Explain strategies for educating parents on their child’s disorder and reducing any concerns/fears presented in the case study. Include any socio-cultural barriers that might impact the treatment and management plans. Health Promotion: What immunizations should this child have had? Based on the child’s age, when is the next well visit? At the next well visit, what are the next set of immunizations? What additional anticipatory guidance should be provided today?
Diagnosis and Management of Genitourinary Disorders
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