Discussion paper

Hellos follow instruction please to complete the discussion paper. Read the case study below, and then answer the following question as a discussion paper. APA format. I need at least 6 references, no older than 5 years old please.

Case Study

HPI:

Miah is a 21-month-old girl who presents with a two-day history of progressive, painful, swelling in the left hand and in the right foot with dactylitis, occurring one week after a URI. She is fussy and fatigue. She now refuses to bear weight or use her hands. Physical exam is also significant for scleral icterus, splenomegaly, and a flow murmur. She has had similar but milder, self-resolving episodes in the past for which she was not seen by a doctor. As the patient is an adoptee from Haiti, no family or birth history is available.

Apply information from the Case Study to answer the following questions as discussion

How would you evaluate and manage a pediatric patient who has a painful swelling of the hands and feet, fatigue, or fussiness?

Which diagnostic studies would you recommend for this patient and why?

What physical exam findings and diagnostic results would be concerning to you and why?

What would be three differentials in this case?

What would be the Diagnosis? And discuss is

In SCD, the spleen doesn’t work properly or doesn’t work at all.This problem makes people with SCD more likely to get severe infections. What is the treatment for Miah and education for the family?

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