9-month-old baby boy, Rafael Carmichael. Physician: Dr.

9-month-old baby boy, Rafael Carmichael. Physician: Dr. P. Good “The baby does not feed very well, irritable and has a runny nose”. According to the mother, this started 3 days ago when the baby would not finish her usual amount of formula feeding. The baby would be observed tugging on her ears frequently. Doctor: “Please take the weighing and height measurement, chest, head circumference “. – This was the height and weight of the baby a month ago: Weight: 5.6, Length: 67 cm – Presently, these are the measurements you got. Weight: 8 kg, Length: 68 cm -Significant findings on examination: HEENT – reddish nasal membranes with whitish discharge; reddish right ear canal with some yellowish discharge; inflamed pharynx. The doctor said the baby has: Upper Respiratory Infection (URI), Otitis media (OM) and is underweight. What he wants for the baby: Small frequent feedings as per instruction. Plot in the growth chart the weight and height of the child a month ago and now. What percentile does the baby belong now? Request for CBC and differential count. Urine collection for urinalysis. Instruct the mother. Schedule for follow up after 5 days. Write how the SOAP will look like. SCIENCE HEALTH SCIENCE NURSING

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