Question

Your patient is 15 yea role male breath in by his mother become of recent unexplained weight loss. He tells his mother that he doesn’t want her accompany him in the exam room and she agrees to wait in the reception area as you lea shim into the exam room it becomes apparent that he has an attitude. He makes rude comment as you explain that you will check his vital signs Never less he allows you to check his typanic temperature pulse and respiration for some reason he comes wild as you approach him with blood pressure cuffs he being swinging and decking your arnt putting that “thing” on his arm how do you handle this

Answer 1

A medical professional should methodically assess a 15-year-old male with unexplained weight loss, addressing any behavioral resistance calmly and professionally while conducting necessary examinations to determine the cause. Symptoms such as pins and needles suggest sensory system issues, while other signs like elevated heart rates and hypoxemia may indicate infections requiring further tests and treatments.

Step-by-step explanation:

When a 15-year-old male presents with unexplained weight loss, it is important to perform a thorough clinical examination to ascertain the underlying cause. During the examination, the healthcare provider may conduct various assessments including checking vital signs like temperature, pulse, respiration, and blood pressure. If the patient becomes resistant to any part of the examination, such as applying a blood pressure cuff, it's crucial for the provider to remain calm, understand the patient's concerns, and ensure a secure and professional environment. Additionally, the provider may perform neurological checks such as asking the patient to smile, raise eyebrows, and follow a pen with their eyes, muscular strength tests, and sensory assessments to detect any abnormalities.

For instance, experiencing pins and needles or a reduced sensation in certain limbs could hint at a problem in the sensory system communication between the spinal cord and the brain, prompting further investigation such as a CT scan. Likewise, symptoms like elevated heart rate, hypoxemia, and abnormal heart or lung sounds may suggest conditions such as influenza, pneumonia, or other infections, requiring targeted interventions like chest radiographs, blood work, or aspirin therapy to prevent complications such as blood clots. In cases like these, it is crucial for the provider to prioritize patient safety while offering empathetic and compassionate care.