You have been caring for 12-year old Karie since she was 9 monthsold.  Her mother has brought Karie

You have been caring for 12-year old Karie since she was 9 monthsold.  Her mother has brought Karie and her older brother to you for their routine health supervision visits and other minor illnesses.  To date, Karie has never been diagnosed with any chronic health concerns.  Karie’s last examination was for her 10-year old well child visit.  She was healthy and her development was progressing normally.     Her mother calls the clinic concerned about Karie and tells the receptionist that Karie has been absent from school sporadically during the last 3 weeks.  According to her mother, Karie has complained of stomaches intermittently during that time.  Over the last week Karie’s absences from school have increased, all related to the stomaches.  Her mother states that Karie has not had a fever or any other signs of gastrointestinal distress such as nausea, vomiting, or diarrhea.  Her stomachaches occur primarily in the morning and subside later in the day.  the receptionist schedules a next day appointment for Karie to be evaluated by you.  When you review Karie’s record prior to seeing her what is your plan for Karie.  What are some of the differentials that you are thinking about for her diagnosis? Health Science Science Nursing NRSE 5023 Share QuestionEmailCopy link Comments (0)

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