[Answered]: History and Physical Past medical history:…

History and Physical Past medical history: Pediatric client has no significant medical history, has been generally healthy, has up-to-date immunizations and has had regular well-pediatric client check-ups. Family history: There is no known family history of endocrine disorders, diabetes, or kidney problems. Birth history: Pediatric client born full-term via a vaginal delivery with no complications during pregnancy. Growth and development milestones have been appropriate. Social history: Pediatric client and a sibling live with their caregiver in a smoke-free environment. The client attends school, participates in team sports, and regularly rides a mountain bike. Review of systems: Caregiver reports the client has been wetting the bed 4 to 5 times per week, often multiple times per night. The client reports being thirsty all the time. The caregiver reports that the school has called about the number of times the client requests permission to go to the bathroom during class. The client and caregiver deny any other symptoms (fever, abdominal pain, changes in bowel movements, rashes, respiratory symptoms). Vital Signs Heart rate 100/min Respiratory rate 18/min Blood Pressure 110/70 mm Hg Temperature 38.3° C (101° F) Admission Assessment General: The pediatric client appears slightly fatigued. Weight and height are below the 5th percentile for age. Skin is warm and dry, lips are dry, skin turgor decreased with no rashes. Head is normocephalic with no signs of trauma or abnormalities. Neck is supple with no masses or lymphadenopathy. There are no signs of enlarged thyroid glands. Pupils are equal, round, and reactive to light. No signs of exophthalmos or eye abnormalities. Heart sounds are normal, no murmurs or irregular rhythms. Breath sounds clear in all lung fields, no signs of respiratory distress. Abdomen is soft and non-tender, no organomegaly or masses. Cranial nerves are intact. Client reports daily headaches. Client is alert and oriented to person, place, and time, but client appears slightly lethargic. Deep tendon reflexes are symmetric and within normal limits. Motor strength and coordination are normal. Reports muscle cramping. No edema or joint abnormalities noted. Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. History and Physical Caregiver reports the client has been wetting the bed 4 to 5 times per week, often multiple times per night. The client reports being thirsty all the time. The caregiver reports that the school has called about the number of times the client requests permission to go to the bathroom during class. The client and caregiver deny any other symptoms (fever, abdominal pain, changes in bowel movements, rashes, respiratory symptoms). Vital Signs Heart rate Respiratory rate Blood pressure Temperature Admission Assessment The pediatric client appears slightly fatigued. Weight and height are below the 5th percentile for age. Skin is warm and dry, lips are dry, skin turgor decreased, with no rashes. Head is normocephalic, with no signs of trauma or abnormalities. Neck is supple, with no masses or lymphadenopathy. There are no signs of enlarged thyroid glands. Pupils are equal, round, and reactive to light. No signs of exophthalmos or eye abnormalities. Heart sounds are normal, no murmurs or irregular rhythms. Breath sounds clear in all lung fields, no signs of respiratory distress. Abdomen is soft and non-tender, no organomegaly or masses. Cranial nerves are intact. Client reports daily headaches. Client is alert and oriented to person, place, and time, but client appears slightly lethargic. Deep tendon reflexes are symmetric and within normal limits. Motor strength and coordination are normal. Reports muscle cramping. No edema or joint abnormalities noted.