Case Study

Case Study S.P. is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit. The child complains that her leg hurts. Subjective Data PMH of otitis media Immunizations: Up to date No medications No allergies Pain: 3/5 on pain scale Attends preschool Unable to recall injuring leg Objective Data Vital signs: T 37 P 92 R 18 BP 100/70 Lungs: clear in all fields Heart rate and rhythm regular Moving all extremities + Range of motion legs and arms Strength 5/5 in all extremities Questions 1.What other questions should the nurse ask? 2.What techniques are helpful to incorporate in assessing a patient in this age group? 3.What other assessments should the nurse make for this clinical presentation? 4.What are a few of the major differences in the musculoskeletal assessment of a child? 5.What should be included in the plan of care? 6.Based on the readings, what is the most likely cause of leg pain for this patient?