Patient 1

Female, 11 months
Chief complaint: liquid diarrhea, coughing, fever
Comes in and discusses past couple of days of what symptoms
occurred
Basic procedure:
Listens to heart, checks ears (post nasal drainage), distractions (holds
hands, popsicle stick to hold)
Recheck weight in one week, fructose causes diarrhea (high amount of
sugar), no fever in 24 hours, cold lasts about ten days
Records information on sound recorder (computer), records all
information from father, records all symptoms of patient (questions
asked and answers to questions), records the instruction given to
father for the baby
Patient 2
Male, 5th grade
Sports physical, check history of patient (heart murmur as a baby)
Questions asked (inhaler?, fainted?, family history of cardiac arrest?),
ask about last visit (medication), mention patient never came in for
follow up
Parent concerned for patients anxiety, doctor asks child about anxiety
in school (test?, homework?), doctor recommends psychologist
Doctor asks questions (healthy eating?, sleep? Depression?), shows
height and weight
Listens to heart (no heart murmur), check teeth/ears/eyes with light,
vision/hearing checked already, checks stomach (feels no problem),
checks pulse (leg and arm simultaneously), check privates
Check neck/thyroid gland, bend over with knees straight (scoliosis),
check walking (tip-toes, flat footed), check heartbeat
squatting/standing
Shots/vaccines, discusses techniques to prevent anxiety for patient,
recommends psychologist, puberty?- changes soon (still years to
develop)body odor, acne

Patient 3
Baby, male
Here for weight recheck, check babys history (C-section, 36 weeks)
Breastfeeding, weight goes down, weight should increase back to
original birthweight after about 2 weeks
Stomach reflux in babies, hiccups, regurgitation, nose discharge,
irritated, arch while eating, 200 minutes upright after feeding,
gag(bottle), need smaller bottles (smaller flow for baby), vent air
(recommends certain bottles to purchase), some require repetitive
feeding, elevated every surface for baby, recommend to return if
irritation continues or excessive acts mentioned and then proceed to
medication, baby will dictate eating, 10 minutes per side of
breastfeeding, try to latch to same side, 15 minutes total every 2 hours
Circumcised, red spot on penis (scab), catch up in size quickly, sun
exposure? (covered, no direct sunlight)
Check hips and feet, urine?, belly button falls off, check ears and
mouth
Dolicecephaly: breached, birth from butt
Patient 4
Rising 3rd grader, female
Allergies? (nuts-hazelnuts, epipen), remember to read food labels,
asthma? (not needed to use), sunscreen?, anything bothering?, 20/40
eyesight (should be 20/30), refer to optometry for vision screening
Check neck/heart, exercise questions, lay flat and check pulses,
puberty (breast development, pubic hair)
Check back for scoliosis, gap in between arms, uneven shoulder
blades, hump went bending forward
Patient 5
Female, rising 5th

Audiologist (tube in ear), audiology testing? (at the school, good),

nutrition/sunscreen?, inhaler/Benadryl for seasonal allergies, listens to
heart along with other checks, faint while exercising?, Sports physical
questions
Check eyes (red, dog allergy), diagnosed at 4 months with cataract in
eye, lays down and checks stomach, regular periods, check pulses,
little scoliosis after check from x rays, period started at 12, check
height/weight (slowed after period), listen to heart squatting and
standing
Screening tool for depression (if scored 11 or higher, psychologist is
recommended)
Patient 6
4 month, female
ear infection
at 4 months you can start mixing formula with rice, blow bubbles, start
jarred food at 5-6 months, put things in mouth, teething? (not usually),
check heart, sleeping well, naps? (one a day), bowlegged (normal),
tummy time (look for rolling to back),
sleeping on tummy is bad; SIDS, baby suffocates from lack of oxygen
Patient 7
Male, 9 years old
ADD evaluation
Did not sit in on
Patient 8
Female, 6 days old
Perfect weight check, keep inside? (yes), bundling of baby to regulate
temperature, if not, calories will be burned and weight will be lost, but
not a problem for this patient
Patient 9
Male, 4th grade

ADD check, teacher and parent fill out sheet for ADD, watch out for
prediabetes, patient has rash on neck due to obesity, work on nutrition
and exercise, proficient in school, seems okay to teacher but parents
are more concerned, rushes/fidgety, went from private school to public
school and this usually leads to ADD becoming more noticeable
because of lack of individual time with student, only problem with
rushing which is a symptom of impulsivity, failed 3 SOLs the first time
(rushing) but retook them and passed and significantly improved by
100 points, recommend meeting at school for appropriate teacher and
organization for home and school, see how school year goes with no
medication, tell patient to recheck work for careless mistakes, maturity
plays major role, regular check up(physical check up)
Patient 10
2 weeks, female
small dosage of gastroporesis which is used to create more movement
in stomach (side effect includes diarrhea) and usually not lifelong in
infants, hiccups (1) regurgitation (2) spit up (3), repeat ultrasound for
head to check comparable sizes of blood cells, vitamin D doesnt go
through mothers breast milk, physical check up, obstruction
(considered forceful, projectile vomiting)
change food to soften stool and easier to poop (fruits, prunes), not
eating (could be sore throat), fever with no symptoms (urine analysis,
check temperature)
Patient 11
Male, 6 weeks
Mild rash (red bumps) on face, neck and head, cure with cream, dr
prescribes cream/ointment
Patient 12
Female, baby
Baby rash, yeast, moist from diaper and creates rash/redness (very
common), very mild case of cradle cap which is easily cured (topical
ointment/cream)
Patient 13
5 years old, male

starting to learn more (speaking, language), hearing/vision screening,

nutrition, dental check ups, regular physical check up, safety,
movement, jumping
Patient 14
11 years old, female
nutrition? (juice has too much sugar), check privates, puberty?, too
heavy blood loss (could be anemic)-check red blood cell count
(hemoglobic), discuss nutritional concerns with parents