Description
TA is a 24-month-old male with Down syndrome who presents to the office accompanied by his mother for abdominal pain x2 days. Mom reports, per her boyfriend TA, had a “fall from the bed during a nap and the problems started after that.” Physical exam notable for tachycardia, tachypnea, hypotension, and lethargy; skin is pale, cool, clammy, and slightly mottled, toe capillary refill 4 seconds, dental caries, and a diffuse diaper rash. Bowel sounds hypoactive, abdomen is distended, and firm, with ecchymoses overlying the epigastrium area; tenderness on palpation, guarding, and rebound tenderness. Faint circumferential macular discoloration at wrists consistent with aging ligature marks. Pertinent negatives include fever, lung sounds CTA or head trauma. Past medical history is significant for AV-septal repair with transient CHF, and global developmental delay. TA is often watched by mom’s boyfriend or neighbor while she works. Address the following questions: What resources are available in your community to assist with concerns such as those faced by your virtual patient? there is concerned for child abuse and neglect and low income What are the reporting requirements for your state and to whom would you report? Include the following components: write 150-300 words in a Microsoft Word document demonstrate clinical judgment appropriate to the virtual patient scenario cite at least one relevant scholarly source as defined by program expectationsLinks to an external site. communicate with minimal errors in English grammar, spelling, syntax, and punctuation
