RA with an onset at <16 years with an unknown cause; mostly affects large joints Fatigue, weight loss, failure to thrive, refusal to walk, joint pain and stiffness. Fever, rash, guarding of joints, limited ROM, joint swelling, nodules. Elevate WBCs, ESR, positive R factor. A chronic systemic disease characterized by inflammation of the joints, stiffness, pain, and swelling that results in crippling deformities. Morning stiffness of small joints, symmetrical involvement, anorexia, weight loss. Fever, rheumatoid nodules, ulnar deviation of wrists. Increased ESR, positive Rheumatoid factor, anemia. Noisy cough, dyspnea, pleuritic chest pain, sputum production, chills, in children poor feeding and irritability. Fever tachycardia, tachypnea, inspiratory crackles, asynchronous breathing, tactile fremitus, percussion dull or flat over consolidation, bronchophony, egophony. Acute onset dyspnea, cough, mild to severe chest pain, sense of impending doom, hemoptysis, Hx of DVT, recent surgery, BC, smoker. Restlessness, fever, tachycardia, tachypnea, diminished breath sounds, crackles, wheezing, pleural friction rub. is usually asymptomatic and presents as an indurated papule, plaque, or nodule. It may be eroded, crusted, or ulcerated.
Type of skin cancer more serious than basal cell carcinoma; often characterized by scaly red papule or nodules.
Lesions often form on the face, ears, neck, hands, or arms. The lesions are firm, red bumps or flat, scaly, crusty growths.
acute infection of the middle ear, occurs more commonly in children younger than 6. In early stages of AOM, the tympanic membrane is retracted and pink with dilatation. As disease progresses, the tympanic membrane bulges, becoming fiery red and may eventually perforate, releasing pus into external auditory canal. Red, bulging TM, fever, decreased light reflex, opaque TM, decreased TM mobility. adults- rapid onset of sore throat, dyspnea, hoarseness. Children- drooling, forward-learning posture. Voice quality is frog life, fever, RD signs, drooling.
sore throat, difficulty with secretions, odynophagia in pediatric patients, unable to lie flat, unable to talk. Respiratory distress, drooling, toxic appearance, do not examine pharynx. Immediate referral.