Asthmatic Patient Experiences Long-Term Infection - Essay Sample

Introduction

An asthmatic patient experiences a long-term infection of the airwaves. The lungs of the patients are always inflamed and narrowed; hence, restriction of air supply in their lungs (Medical News Today, 2020). Symptoms include tightened lungs, wheezing of the chest, breathlessness, continuous coughing, and excessive mucus (Medical News Today, 2020). Anna Gale is a 10-year-old white baby girl who was born in 2010. She was admitted as a resident in our public hospital by 24th May 2020 by physician Mercy Adams who is a registered nurse. The patient was seemingly weak, with mild wheezing sound and hardship while breathing. She has no known allergic cases and completed her immunizations as a toddler. Her chief complaint was a worsening state of health and wheezing.

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Past Medical History

The patient lives with her biological parents and three siblings. She is also in her regular classes and has been to school for three years. Her parents are non-smokers, and she has never been exposed to a smoking environment as well. When it comes to her history of present illness, Anna is a 10-year-old Caucasian female who is very familiar with me and has difficulty breathing. Approximately three months ago, parents noticed a lot of fatigue and wheezing during evening hours. She also has a history of convulsion. This was recorded on 24/05/2020. Anna's past medical history indicates asthmatic complications, fever, difficulty in breathing, high temperature, and loss of appetite. She was then given vitamins, painkillers, inhaled corticosteroids, and leukotriene.

Moreover, she was born typically, and the mother did not experience any form of abnormalities during both prenatal and postnatal periods. The patient has never had any cases in the form of injuries and has been hospitalized twice for the same conditions described above. All of her siblings came from the same gestation; therefore, the family is noncontributory. Her parents do not have a history of asthmatic patients in their lineage apart from her grandfather, whose sister was once attacked by asthma at a younger age, but it was cured. During her standard days, she eats a lot of fruits, usually sleeps, and rarely plays outside with other children. She had just lost her two front milk teeth, and they are in the process of growth again.

Physical Examination

Anna has remained very thin, with almost 5 pounds of weight lost. Her blood pressure was at 117/78, weight 81, RR: 18, T: 996.7 degrees Fahrenheit weight 44 pounds. She was mentally conscious and responsive to any stimuli and did not show any signs of brain damage. Apart from her loss of weight, her eyes were also weak and skin pale. Any other physical observations were positive.

Moreover, her cephalic was normal; her neck also had no apathy, abnormal rate, and rhythm of cardiac, there was mild murmuring. There was also a wheezing sound and congestion in her respiratory (Agency for Toxic Substances & Disease Registry, 2016). Her bowels had sounded, and she demonstrated respiratory constraints. She had no case on her extremities.

Stages of Development

Concerning Piaget's stages of cognitive development, Anna is on the concrete operational stage, starting from 7 to 12 years. She belongs to this group considering her age, which is ten years. Yes, this stage is developmentally appropriate for this age group because they start to learn more about the feelings and thoughts of other people, just like Anna. She knows how to respond according to my expressions. Generally, the child's development rate is reasonable compared to her age-mates apart from her height, which is slightly retarded. Overall, she has a positive impression, and her health is promising if she gets the required medication this early. A presumptive diagnosis of Anna indicated R06.09, which indicated other types of dyspnea, R06. Eighty-three for snoring, and R06.3 for periodic breathing while differential diagnosis indicated R05 for coughs, R06.2 for wheezing, R06.02 for shortness of breath, R06.89 other breathing abnormalities, and R06.00 for Dyspnea. The only plan for the patient is admission for severe intermittent J45.5X0 asthma.

References

Agency for Toxic Substances & Disease Registry (2016). Environmental Triggers of Asthma

Differential Diagnosis of Asthma. Agency for Toxic Substances and Disease Registry. https://www.atsdr.cdc.gov/csem/csem.asp?csem=32&po=5

Medical News Today, (2020). Types, Causes, and Diagnosis of Asthma. Healthline Media UK Ltd. https://www.medicalnewstoday.com/articles/323523#takeaway