Musculoskeletal and neurological disorders

Week 11 Musculoskeletal and neurologic disorders can present complications for pediatric patients from infancy to adolescence. These disorders affect patients physically and emotionally and often impact a patient’s ability to participate in or carry out everyday activities. Patients with these disorders frequently need long-term treatment and care requiring extensive patient management and education plans. Musculoskeletal and neurologic disorders present various symptoms because they affect multiple parts of a patient’s body. Consider treatment, management, and education plans for the patients in the following three case studies. Case Study 2: Trevon is an 18-month-old with a 3-day history of upper-respiratory-type symptoms that have progressively worsened over the last 8 hours. His immunizations are up to date. Mom states he spiked a fever to 103.2°F this morning and he has become increasingly fussy. He vomited after drinking a cup of juice this afternoon and has refused PO fluids since then. Pertinent physical exam findings include negative abdominal exam, marked irritability with inconsolable crying, and he cries louder with pupil examination and fights head and neck assessment. You are unable to elicit Kernig’s or Brudzinski’s signs due to patient noncompliance. To prepare: • Review “Neurologic Disorders” and “Musculoskeletal Disorders” in the Burns et al. text. • Review and select one of the three provided case studies. 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 musculoskeletal or neurologic disorder. Post --an explanation of the differential diagnosis for the patient in the case study you selected. --Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. --explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. --explain strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.                                                  

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