3. Name: N/A
Age: 3 years old
Address: Smoky Mountain of Navotas
Gender: Male
4. Two days prior to consult, the patient presented,
mild, colicky pain on the lower right quadrant of the
patient’s abdomen accompanied by malaise and
anorexia. 24 hours prior to consult, the symptoms
presented by the client exacerbated. The patient feels
feverish and vomited twice with large worm. The
patient did not have any episodes of chills, nor
diarrhea, dysuria and hematuria. Persistence of pain
promted the patient to consult the doctor.
5. Playing with his brothers
in the nearby mountain of soil and garbage
6th among 8 siblings, lives
with his family
Smoky Mountain of Navotas
Polluted, Smoky, Foul-odor
Near the dumping site of
garbage materials, near the mountain of soil and garbage
6. One of the most common parasitic infection worldwide is the
Ascariasis, it is usually experienced in tropical countries as well as
in developing countries. It is caused by Ascaris lumbricoides a
nematode, also known as the “Giant intestinal roundworm”.
It is a parasite, so it is an organism that feeds on the
nourishment of its host. It cannot survive on its own. And it is
under the group of Helminths, a multicellular
and chemoheterotrophic group of organisms.
7. According to the case report of Department of Pediatrics and
Radiology, Shifa College of Medicine and Shifa International
Hospital, Islamabad, approximately 25 percent of the
world’s population or nearly 807 million cases have been noted
for this disease. In addition, roughly 1.5 billion individuals are
infected with Ascaris lumbricoides in Africa and Asia.
It is also regarded as the .
8.
9. Abdominal Symptoms
a. Abdominal discomfort
b. Nausea
c. Diarrhea
d. Anorexia
e. Impaired nutritional absorption of
dietary proteins, lactose and Vitamin A.
f. Steatorrhea
10. Respiratory Symptoms
a. Shortness of Breath
b. Coughing (sometimes with bloody sputum)
c. Wheezing
d. Pneumonitis
e. Low-grade fever
Liver and Pancreas Symptoms
a. Hepatic Abscesses
b. Biliary Colic
c. Acalculous Cholecystitis
d. Ascending Cholangitis
e. Obstructive Jaundice
f. Obstruction of the bile duct with peritonitis
11. Normal Value
Temperature 38°C 36-38°C
Pulse Rate 80 bpm 90-150 bpm
Respiratory Rate 24 cpm 24-40 cpm
Weight 10 kgs 11-17.5 kgs
13. According to the History of Present Health concern of
the patient, the abdominal pain is:
Mild, colicky
2 days prior
Right lower quadrant
Moderately severe
Persistent
Fever, Chill, Vomiting
14. Prescribed amount: 15 mg/kg/day given in
divided doses twice daily with meals (maximum total
daily dose 800 mg).
Prescribed amount: dosage of 100 mg twice
daily for 3 days.
15. Prescribed amount: single dose of 11 mg/kg body
weight
Weight of patient: 10 kg
Dose to give: 110 mg
Prescribed amount: dosage of 75 mg/kg body weight
daily for 2 days
Weight of patient: 10 kg
Dose to give: 750 mg
16. Educate the parents of the patient to properly dispose
human excrement like feces.
Educate the patient’s relatives as well as the patient
about the proper hand washing techniques.
Instruct the patient and his relatives that playing in soil
may cause Ascariasis as Ascaris eggs are usually found in
soil and dirt.
17. 4. Teach the patient to avoid eating raw and unwashed
foods and those that has been dropped on the floor.
5. Instruct the client not to put his fingers on his mouth
especially when it is dirty.
6. If infected, the individual should be treated with
medicine to reduce disease transmission.
18. * Stool Tests
* Blood tests
* Imaging tests
a. X- rays
b. Ultrasound
c. CT scans or MRIs
