Case 2
To diagnose a nine-year-old who bed wets, information from a complete medical history and physical examination is indispensable. After diagnosis, interventions that could be instituted include reducing fluid consumption for the child before bedtime, reinforcing habits that reduce bedwetting, using moisture alarms, among others. When need be, medication such as Desmopressin Acetate (DDAVP) can be used. It is, however mostly effective when during medication.
To treat a UTI infection in the boy, sulfamethoxazole, an antibiotic can be used at first. Other antibiotics that could be effective include amoxicillin or cephalosporin.
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Bladder problems such as overactive bladder and a structural problem in the nervous system are some organic problems that can cause enuresis. A nervous system problem as a cause of enuresis is however, less common.
Biofeedback therapy, Oxybutynin , and T olterodine are some of the interventions that can be used to treat bladder problems. Neurological related enuresis is corrected by either treating the exact problem or training the child. If the child does not have an organic related problem,
Case 3
One of the things to know about the boy is their passion. Next, one should know what the boy has been exposed to since he was young. Besides, it is also essential to know if the boy’s football skills have been natured at school or if it is purely his initiative.
One of the most critical information to know about the family is if other family members are passionate about playing football or if there have been famous footballers in the extended family.
Some of the assessment techniques that should be pursued during a sport physical to detect hypertrophic cardiomyopathy are palpation of both the radial and femoral pulses, physical evaluation for Marfan Syndrome as well as dynamic cardiac auscultation.
Other heart conditions that might be present but not exhibited include Congenital Coronary artery anomalies, Marfan Syndrome, and repolarization abnormalities. These can be diagnosed using the same physical examination used for hypertrophic cardiomyopathy.