New Benji by

2021-02-24 15:35:45 UTC

HR 135, Tempt 100.0, BP 128/59, O2 sat 99%

Gen Survey: Stooped posture, guarding, quiet and clinging to dad.

hypoactive bowel sounds

2021-02-24 15:35:50 UTC

2021-02-24 15:35:56 UTC

HR 135
Temp 100.9
BP 128/59
O2 99%

Group 1

2021-02-24 15:35:57 UTC

HR: 135, Temp 100.9, BP 128/59, O2 sat 99%

khesler2 — 2021-02-24 15:35:58 UTC

HR: 135 (high)
Temperature: 100.9
BP: 128/59
O2: 99%

temperature is high

2021-02-24 15:35:59 UTC

Skin

2021-02-24 15:36:08 UTC

pink and warm with mild erythema on his abdomen

guarding right lower quadrant

2021-02-24 15:36:10 UTC

2021-02-24 15:36:17 UTC

His vital signs are: heart rate 135, temperature 100.9, BP 128/59, O2 sat 99%

mmottler — 2021-02-24 15:36:21 UTC

Vomited 4x overnight

Abnormal: temp is high, HR high, BP high

2021-02-24 15:36:32 UTC

khesler2 — 2021-02-24 15:36:38 UTC

Vomitted 4x overnight, no appetite and abdomen is slightly distended. Hypoactive bowel sounds. Pain in the RLQ. Guarding and rigidity is present.

slightly distended abdomen

2021-02-24 15:36:39 UTC

2021-02-24 15:36:54 UTC

Clear lung sounds

Group 1

2021-02-24 15:36:54 UTC

Lung sounds are clear.

lung sounds are clear

2021-02-24 15:36:58 UTC

clear lung sounds

2021-02-24 15:37:10 UTC

2021-02-24 15:37:22 UTC

Sat is strong, lung sounds clear, respiratory rate???

Group 1

2021-02-24 15:37:26 UTC

RLQ pain, Last bowel movement movement yesterday, abdomen slightly distended. Hypoactive bowel sounds. Nausea, vomiting.

GI

2021-02-24 15:37:38 UTC

vomited 4x overnight, slight constipation
loss of appetite
abdomen is slightly distended
hypoactive bowel sounds
RLQ pain during palpation
guarding and rigidity of abdomen

Vital Signs

hkang26 — 2021-02-24 15:37:38 UTC

HR: 135 (high)
Temp 100.9F (slightly high)
BP: 128/59 (elevated)
O2 sat: 99%

khesler2 — 2021-02-24 15:37:45 UTC

Clear lung sounds, no RR listed

2021-02-24 15:37:45 UTC

Clear lung sounds

2021-02-24 15:37:47 UTC

abdomen slightly distended, loss of appetite

AHidic1 — 2021-02-24 15:37:50 UTC

HR: 135 (high)
Temp: 100.9F (slightly higher)
BP 128/59 (slightly elevated systolic)
O2: 99%

zerickson2 — 2021-02-24 15:37:57 UTC

Temperature abnormal
BP abnormal
HR abnormal

Guarding
Distended abdomen

AHidic1 — 2021-02-24 15:37:59 UTC

Clear lung sounds

wear helmet when riding bike

2021-02-24 15:38:03 UTC

2021-02-24 15:38:05 UTC

CC: Pain. RLQ pain upon palpation with guarding and rigidity, slight constipation (last BM was yesterday), nausea, loss of appetite, hypoactive bowel sounds, erythema on belly, McBurney point elicits pain.

Guarding, rigidity, stooped posture, nausea, slight constipation, erythema, hypoactive bowel sounds

2021-02-24 15:38:12 UTC

2021-02-24 15:38:14 UTC

bowel sounds hypoactive

zerickson2 — 2021-02-24 15:38:18 UTC

Clear lung sounds

VS

twestrich — 2021-02-24 15:38:22 UTC

Normal
- O2 Sat: 99%
Abnormal
- BP: 128/59
- HR: 135 beats per min
- Temp: 100.9F

2021-02-24 15:38:23 UTC

Vomited 4x overnight, loss of appetite, slightly distended abdomen, hypoactive bowel sounds, RLQ pain with guarding and rigidity, nausea

hkang26 — 2021-02-24 15:38:24 UTC

Lung sounds clear

zerickson2 — 2021-02-24 15:38:30 UTC

Mild erythema on abdomen

Group 1

2021-02-24 15:38:39 UTC

Skin is pink and warm with mild erythema on abdomen.

khesler2 — 2021-02-24 15:38:42 UTC

Erythema in abomen

EChristopher — 2021-02-24 15:38:48 UTC

Bye bye appendix

2021-02-24 15:38:49 UTC

complaining of RLQ pain for 2 days

General survey

ALoncke — 2021-02-24 15:39:16 UTC

Patient is quiet and clings tightly to his dad. He is guarding his abdomen and has stooped posture.

CV/PV

2021-02-24 15:39:18 UTC

pulses 2+, cap refill <3 seconds

make sure patient know developmental milestones

2021-02-24 15:39:20 UTC

AHidic1 — 2021-02-24 15:39:36 UTC

Hypoacitve bowel sounds
Abdomen distended with erythema
Pain upon palpation
Loss of appetite
Vomiting 4 times over night.
Last BM yesterday
Constipation
Nausea

Group 1

2021-02-24 15:39:38 UTC

Drink fluids, do not hold in pee, healthy diet.

emullen33 — 2021-02-24 15:39:40 UTC

Discuss post operative care.

encourage proper diet

2021-02-24 15:39:50 UTC

khesler2 — 2021-02-24 15:39:53 UTC

If appendix is removed, activity should be modified and healing should be prioritized. Resting and reducing infection risk.

2021-02-24 15:39:55 UTC

Last bowel movement yesterday

AHidic1 — 2021-02-24 15:40:13 UTC

Clings to father
Quiet
Guarding. Rigidity, stooped posture

mmottler — 2021-02-24 15:40:20 UTC

Nutrition: typical diet?

hkang26 — 2021-02-24 15:40:22 UTC

Loss of appetite, last bowel movement was yesterday, abdomen slightly distended, hypoactive bowel sounds, slight constipation, nausea, vomited 4 times overnight (skin on abdomen is red)

2021-02-24 15:40:24 UTC

Encouraging proper nutrition and fluid intake

Respiratory

2021-02-24 15:40:28 UTC

lung sounds clear

2021-02-24 15:40:32 UTC

Pink, warm, mild erythema on abdomen, cap refill <3 sec

Pedialyte and proper hydration

2021-02-24 15:40:37 UTC

encourage nutritious diet

2021-02-24 15:40:38 UTC

and fluid intake

twestrich — 2021-02-24 15:40:44 UTC

- Reports RLQ pain w/ guarding, rigidity, stooped posture, nausea, slight constipation
- Pt quiet & clinging to parent

twestrich — 2021-02-24 15:41:02 UTC

Clear lung sounds

hkang26 — 2021-02-24 15:41:03 UTC

Erythema on abdomen, pink, warm

Vital signs and general survey

2021-02-24 15:41:09 UTC

HR 135
Temp 100.9
BP 128/59
O2 sat 99%

complaint of RLQ pain with guarding and rigidity, stooped posture, nausea, and slight constipation
Quiet and clings to his dad

Healthy habits

hkang26 — 2021-02-24 15:42:03 UTC

Nutrition, fluids, sleep patterns, brushing teeth

twestrich — 2021-02-24 15:42:05 UTC

Subjective
- Vomiting 4x overnight
- loss of appetite
- last BM last night

2021-02-24 15:42:12 UTC

Wash hands, wear a helmet, wear a seatbelt, eat fruits & vegetables. Are they playing? Socializing with other children? Screen time <2 hr.

Social

hkang26 — 2021-02-24 15:42:57 UTC

Family and friend relationships, positive parenting strategies

twestrich — 2021-02-24 15:42:58 UTC

Objective
- Palpation of RLQ elicits pain
- slight abdominal dissension
- hypoactive bowel sounds

twestrich — 2021-02-24 15:43:50 UTC

- pink & warm
- mild erythema on abdomen

2021-02-24 15:44:20 UTC

Wear a helmet
Drink milk, dairy intake (calcium)
Reduce screen time
Encourage outdoor play
Restrict soda and sugary foods
Encourage fruits and vegetables and protein