Case Study 1
Mark is an 8-year-old boy who has presented to the emergency department in the local hospital
with right iliac fossa pain. On further assessment by the emergency registrar, appendicitis is
suspected. He is made nil by mouth, commenced on IV therapy and admitted to the paediatric
unit for a surgical review for possible theatre that evening.
The surgical team agree that the signs and symptoms are associated with a possible
appendicitis and take Mark to theatre for an appendectomy.
The handover on return to ward is that the surgical team found a gangrenous perforated
appendix with peritonitis. Mark has returned to the ward with a nasogastric tube insitu on free
drainage, morphine PCA, IV therapy and triple IV antibiotics.
Due to the severity of the infection and the potential complications, Mark will need to remain in
hospital for 10 days of IV antibiotics and pain management.
Mark is the oldest of five children and his parents own and run an Indian restaurant in the city.
Case Study 2
Jayda is a four-month old girl admitted to the paediatric unit via emergency with vomiting,
decreased feeds no bowel actions and intermittent spasmodic abdominal pains. During the
spasmodic pain episodes, Jayda would draw her legs up and have a high pitched cry.
After a diagnostic ultrasound, intussusception was the cause of the presenting symptoms and
Jayda was admitted to the ward. Her treatment plan included observation, electrolyte monitoring
and IV therapy and antibiotics until a contrast enema could be implemented to correct the
intussusception.
The approximate length of stay for Jayda will be 2 days, during which time, Jaydas mother is
informed that the rotavirus vaccine that Jayda had at 4 months has increased the incidence of
this condition amongst infants. Jaydas mother is now having serious doubts regarding future
vaccines for Jayda.
Assessment 1 and Rubric Page 3 of 6
Case Study 3
Steven is a 15-year-old indigenous boy who lives in a remote town in rural Australia. Steven was
diagnosed with asthma at the age of two. His asthma has been well managed over the years
predominantly with relievers and preventers with the occasional need for steroidal antiinflammatory
medication.
Steven has presented to the local hospital complaining of shortness of breath and relays to the
triage nurse that he has a past history of asthma.
A health history taken by the triage nurse on arrival reveals that Steven has had a two-year
history of smoking cigarettes and is not always compliant with his asthma medication or
management plan.
Steven lives with his mother and his 6 brothers and sisters.
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