Matthew Bennett: Physical Exam Results
- Temperature = 101.6
- Blood pressure = 90/65
- Heart rate = 145 beats/min
- Respiration = 28 breaths/min
- Height* = 35 in.
- Weight* = 25 pounds
The physical examination is normal except for the following:
- General: thin, underweight child.
- Skin: warm to touch.
- Chest: rhonchi in the left upper lung zone, with expiratory wheezing.
- Abdomen: slightly distended.
Questions:
Please email your answers to your instructor or write the answers down in your case log book.
Just complete this form. Click on Submit when ready to send.
- Your name:
- Email address:
- 1. Which of his vital signs is within normal limits (WNL)? (Click on the links above to compare Matthew's vital signs to normal values.)
- Temperature
- Blood Pressure
- Pulse (heart rate)
- Respiratory rate
- 2. Which of his vital signs are outside the normal range? Is this data significant? What might these signs indicate?
- 3. How does Matthew's height and weight compare to other boys his age?
- His height and weight are in the 95th percentiles for boys 36 months of age.
- BHis height and weight are just fine - he's in the 50th percentile for boys 36 months of age.
- His height is in the 10th percentile and his weight is under the 5th percentile.
- I don't know how to read these charts.
- 4. What are rhonchi (sing. rhoncus)? How are they different from wheezes?
- 5. Does the physical examination support or refute your preliminary opinion? Explain how.
- 6. What laboratory tests might you request to support your opinion? Remember, laboratory testing is expensive, so please provide a rationale for your tests and predict the results.
Next step: Lab Tests »