Hematologic Disorders in Children
1- How would you evaluate and manage a pediatric patient who has a painful swelling of the hands and feet, fatigue, or fussiness? Which diagnostic studies would you recommend for this patient and why?
2- What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case?
3- In SCD, the spleen doesnвЂTMt work properly or doesnвЂTMt work at all. This problem makes people with SCD more likely to get severe infections. What is the treatment for patient and education for the family?
Hematologic Disorders in Children
Conducting differential diagnosis is effective in assessing the painful swelling of feeds and hands or fatigue among a pediatric patient. The differential diagnosis study is the benefit approach for the patient suffering from fatigue and painful swelling. The study will assess the nature of the painful swelling ranging from benign to severe condition that could have significant implications (Campbell, & Peebles, 2014). The approach makes it possible to recognize the severity of the condition making it possible to develop proper interventions in an effective manner.
While evaluating the condition of the pediatric patients, the physical exam outcomes and diagnostic results that might be concerning includes prolonged cases of focal seizures. In most occasions, the focal seizures could occur in the first 3 days of the condition. Prolonged unmanageable seizures will be a huge concern that pushes for the admission in the hospital. In rare cases, the medical practitioners could diagnose patients with coma (Griese, et al., 2015). Other worse results include intensive intravascular coagulation and regular outcomes of endotoxic shock.
Various measures and methods that can be used in treating the patients and educating the families for the patients include taking pain medical drugs to reduce the pain associated with SCD. The medicines that could be used include Gabapentin, NSAID drugs, and strong pain medications among others. Persons suffering from SCD can have transfusions that should be monitored and immunized against Hepatitis conditions. It is also recommendable to perform regular evaluation and screenings for excess iron. When the patient has excess iron, the doctor should perform chelation therapy to lower the level of education in the body. Thus, blood transfusion is a potentially effective treatment method.
The education and creating guideline for the family of the SCD patients would include the review of the condition and the treatment plan. Doctor should also explain how to recognize and effectively manage the pain facing the SCD patients (Hoffman, et al., 2013). The education of the family would also include informing them about the risks of children suffering from SCD and need for regular screening.
Campbell, K., & Peebles, R. (2014). Eating disorders in children and adolescents: state of the art review. Pediatrics, 134(3), 582-592.
Griese, M., Zarbock, R., Costabel, U., Hildebrandt, J., Theegarten, D., Albert, M., … & Wesselak, T. (2015). GATA2 deficiency in children and adults with severe pulmonary alveolar proteinosis and hematologic disorders. BMC Pulmonary Medicine, 15(1), 87.
Hoffman, R., Benz Jr, E. J., Silberstein, L. E., Heslop, H., Anastasi, J., & Weitz, J. (2013). Hematology: basic principles and practice. New York, NY: Elsevier Health Sciences.