Jonah Kotter is a 5-year-old male preschooler who presents to the pediatrician’s office for complaints that his leg “hurts”.
- PMH negative
- Immunizations: Up to date
- No medications
- No allergies
- Pain: 3/5 on pain scale
- Attends Kindergarten
- Does not remember injuring leg
- Vital signs: T 37 degrees Centigrade, P 94, R 18, BP 100/70
- Lungs: clear
- Heart rate and rhythm regular
- Moving all extremities
- + Range of motion legs and arms
- Strength 5/5 in all extremities
- What other questions should the nurse ask?
- What techniques are helpful to incorporate in assessing a patient in this age group?
- What are a few of the major differences in the musculoskeletal assessment of a child?
- What should be included in the plan of care?
- Based on the readings, what is the most likely cause of leg pain for this patient?
REFERENCE:Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.
- Chapter 22: Musculoskeletal System
- pp. 577–619 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)
- Chapter 23: Neurologic System
- pp. 633–676 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)