Case presentation

Identification data of the Baby

Case presentation

Present Complain

Child Personal Data

Obstetrical History of the mother

Antenatal & Natal History.

Child Personal Data

Anthropometric Measurements
SR. NO. CHARACTERISTICS WEIGHT IN THE BABY 40 Kg. 50 - 52 Kg

HEIGHT
CHEST CIRCUMFERENCE HEAD CIRCUMFERENCE MID ARM CIRCUMFERENCE

163 cm
65 cm 50 cm 24 cm

165 170 cm
76 to 80 cm 54 to 55 cm 25 to 28 cm

Child Personal Data

Gross Motor Development

Fine Motor Development

Play Habits.
Toilet training. Nutrition.

Child Personal Data

Immunization History
SR. NO. BCG OPV DPT I + OPV VACCINE GIVEN / NOT GIVEN Given Given MONTH / DATE / TIME At Birth 1 Month (6 weeks)

DPT II

+ OPV

Given

2 month (10 weeks)

DPT III MEASEALS DT & TT

+ OPV

Given Given Given

3 month (14 weeks) 9 Month 16 Month

HEPATITIS B

Given

10 Years

Case presentation
Family history
RELATION

SR.
NO.

NAME OF THE FAMILY

AGE / SEX MEMBER PATIENT 40 YRS / MR. RAMPRAKASH MORE MALE MRS. SUNANADA RAMPRAKASH MORE MR. PRADEEP RAMPRAKASH MORE MS. POOJA RAMPRAKASH MORE 35 YRS / MOTHER FEMALE 16 YRS / SELF MALE 11 YRS / DAUGHTER FEMALE 6th Std ---10th Std ---11th Std ---FATHER B.A. ---WITH THE EDUCATION REMARK

Case presentation

Anatomy

&
Physiology.

Case presentation

Case presentation

Definition

Etiology.

Case presentation
Pathophysiology

Case presentation
Clinical Manifestation
SR.NO. 1. 2. 3. 4. 5. 6. 7. 8. BOOK PICTURE Vague epigastric or periumbilical pain progresses to right lower quadrant pain low-grade fever Nausea and sometimes by vomiting. Loss of appetite Local tenderness is elicited at McBurneys point when pressure is applied The extent of tenderness and muscle spasm and the existence of constipation Diarrhea depends not so much on the severity of the appendicle infection as on the location of the appendix. Rovsings sign may be elicited by palpating the left lower PATIENT PROFILE Yes Yes Yes Yes Yes

Yes
Yes Yes

quadrant.

Investigation
SR.NO . INVESTIGATION NAME Complete physical examination Complete blood cell count Elevated white blood cell count. The leukocyte count may exceed 10,000 cells/mm3 neutrophil count 4500-11000 /mm3 Normal Range Patient Range . . Done More than 12,000 cells/mm3 More than 75%. REMARK Elevated white blood cell count.

May exceed 75%.

Abdominal x-ray films, Ultrasound studies, CT scans may reveal a right lower quadrant density or localized distention of the bowel. .. Done . Done

Done

Diagnostic evaluation
SR. NO. BOOK PICTURE History & physical examination complete physical examination complete blood cell count IN PATIENT

DONE
DONE Elevated white blood cell count. The leukocyte count may exceed 10,000 cells/mm3 Neutrophil count May exceed 75%. DONE DONE

Abdominal x-ray films, ultrasound studies, CT scans may reveal a right lower quadrant density or localized distention of the bowel.

DONE

Medical Management
SR.
NO. 01 02 DRUGS NAMES Inj. Monocef Inj. Metro DOSES 2 gm IV 100 ml 40 in 100 ml of NS 05 06 Intravenous fluids D5, D10, RL Inj. diazepam

FREQUEN
CY BD TDS

03
04

Inj. Diclonefec sodium

Inj. Pan .

Surgical Management

Appendectomy

Diet Management

Clear Diet

Full Liquid Diet

Soft Semi solid Diet

Nursing Management & Nursing Care Plan

Nursing Diagnosis
1. 2.

Pain related to Inflammation in the left lower region (Appendix) Understands the surgical process and the necessary preoperative preparations .

3. 4. 5. 6.

Attainment of a positive self-concept Reduction of anxiety Maintenance of skin integrity Achievement of an optimal nutritional intake

Progress of the patient

Health education

1. PROMOTION OF HEALTH 2. PREVENTION OF INFECTION 3. HEALTH EDUCATION ON DIET 4. EXERCISES 5. ACTIVITY 6. FOLLOW UP

Health education

1. Summary 2. Discharge Planning 3. Conclusion

Plan for Data Analysis

INTERNET
WWW.biowizard.com.cabassearch.php WWW.caringforkids.cps.ca WWW.chidcare.com WWW.emedicine.com WWW.medmatrix.org

WWW.ncbi.nim.nih.gov/entrez/query
www.savechildren.org WWW.who/int