Please answer ONE of the following DQ’s. Please provide the questions that is being answered as the heading. Incomplete answers will be marked as “0.”
Chapter 19
The parents bring their 3-month-old infant to the urgent care you work at complaining that he has had of constipation for 5 days that was preceded by weakness for several weeks. Upon physical exam, you note hypotonia, hyperreflexia, and respiratory distress. You advise the parents you believe the child needs to be admitted to hospital and taken immediately to the local pediatric emergency room.
a. The parents ask you why you are so concerned and tell you they would prefer you to give him something for the constipation. They would rather just take him home. How would you respond?
b. The parents persist that they do not think their son needs to be admitted to the hospital. As a clinician, you believe they are making the wrong decision and are concerned for the infant’s health. What alternatives might you consider to ensure the parents understand the gravity of their decision?
Chapter 20
Fifty-four–year-old Fred is complaining of a headache that started about 2 weeks ago. For the past 2 days, the headache has increased in severity, and he is photophobic and has uncial rigidity and projectile vomiting. CT scan results show an arteriovenous malformation in the basal artery and a small hemorrhagic bleed in the middle meningeal artery.
a. How is the concept “disorders of brain function” related to Fred’s presenting symptoms?
b. What aspects of cerebral circulation would come into play in Fred’s case?
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