CLINICAL PORTFOLIO BSN 8TH SEMESTER

1st WEEK CIM

CAUSES;
DIAGNOSIS
Dehydration, Malnutrition
Dehydration related to
Anal Fisure, Hemorrhoids. constipation
Hypothyrodism, Abdominal Pain related
to constipation

X ray for abdominal,

stool culture

CONSTIPITION

The passage of bulky or

hard stool at infrequent
intervals.

Retention of feces in
the rectum result in
encopresis in about
60% of the constipated
children

TREATMENT:

High intake of Fluids &

Clinical Features; high Residue Food.

Abdominal pain Stool softner are used in

sever conditions.
Hard stool, discomfort,
Psychiatric consultation is
Abdominal tenderness needed in patient with
resistant symptoms.
Headache
 CLINICAL PORTFOLIO BSN 8TH SEMESTER

2nd WEEK CIM

Diagnosis

Diagnosis is mainly done on clinical features.

CBC, Chest X-Ray, ABGs Pulmonary Function Test.

CAUSES
Clinical Features
ASTHMA Dust mite,Smoke
Wheezing, SOB,
Tachypnea, Dyspnea, Reversible obstruction Medications,
of the small & large Sinusitis,Exercise
Chest congestion,
airways due to hyper-
Flaring of Nostrils, R.T.I, Weather
responsiveness to
Tachycardia,
various stimuli. Ingested Allergens
Agitation,C.Cynosis

TREATMENT

Supply oxygen through F.Mask or Nasal prongs.

Nebulize the client with sambutamol.

Hydrocartisone is given to prevent late phase reaction.

Hydration through N/S 20ml/Kg is done to ensure suffecient

fluid requirements.

Antibiotics is given in case of bacterial infection.

CLINICAL PORTFOLIO BSN 8TH SEMESTER

3rd WEEK CIM

CAUSES
SIGNS & SYMPTOMS Streptococcus pneumoniae,
Pain,Dyspnea, SOB, haemophilus infuvrnzae,
staphylococcus aures and
High grade fever. mycobacterium tuberculosis
causes their respectives disorders
Breath sounds & Vocal
and then the disorders leads to
Resonance are reduced or
pleural effusion.
Absent.

PLEURAL EFFUSION

A pleural effusion is an
excessive accumulation of fluid
in the plural space .

While pus in the pleural space

is called empyema.

Empyema is the most common

cause of pleural effusion in
children.

DIGNOSIS
TREATMENT
WBC Count & Blood Culture.
Treat the Pleural effusion we have to treat
the underlying condition that has causes Tuberculin Skin Test.
the p.effusion.
Chest X-Ray,Chest Ultrasonography
For large effusion drainage with chest
tube is needed. Pleural Fluid Aspiration.

Appropriate intavenous antibiotics should Microscopic Examination &Culture

be given in case of empyema or ant-
tuberculosis treatment in case of
tuberculous effusion.