i-Human Patient by Kaplan: KeciaYoung Case Study
Medical Case Study: 2-Year-Old with Rash, Cough, and Fever
Nursing Exam with Correct Answers
Kecia is a 2 year old female who presents with a pink maculopapular rash which began
this morning on the abdomen and has spread to her extremities. Mother has not seen
her itching therash and does not believe it is painful although she cannot say for certain.
Three days ago she began with cold symptoms of non-productive cough, runny nose, and
fever with Max T 103F. Mother gave Tylenol for fever which resolved last night. Her
appetite is good and she is havingwet diapers and normal bowel movements. She goes to
daycare but has no known sick contactsor recent travel. She is fully vaccinated and
meeting milestones. She has no known allergies.
Age: 2 yo
Height: 2’10” (86cm)
Weight: 28
lbs(12.7 kg)
CC:rash
NKA
Only taking Tylenol
Symp: rash started on abdomen and spread to arms/legs today, but cold with runny nose,
cough,fever 3 days ago (103 max) all 3 days ago.
No change in appetite; 4-5 wet diapers daily; 2 stools daily.
VS: temp 37.0C, A&Ox4, HR 75 regular, BP – L: 90/60 and R: 95/60 normotensive, RR
22regular, O2 sat 94%.
No PMH
Immunizations up to date
Questions to ask MOTHER: None to ask child