[Answered]: Pediatric Conditions 8.54

Pediatric Conditions 8.54. The following documentation is from the health record of a female patient who rises clinic services. Chief Complaint: Spina bilfida clinic follow-up visit History: The patient is a 12 -year-old girl with T11-12 spina biffida and thing hydrocephalus. She also has neurogenic bladder and neurogenic bowel thin status post congenital scoliosis, repaired with rodding. When I saw her last, they complained of some right-sided lower abdominal pain but that resolved throry, af, her last visit. Today, she denies headache, nausea, vomiting, diarrhea, any chang bowel or bladder function, upper extremity weakness, cognitive changes, or difficul swallowing or chewing. Mother has requested a modular wheelchair with hang platforms, and switchback, which I ordered today. Examination: Normocephalic. Shunt catheter is taut over the right clavicle. 1 k . regular rate and rhythm. Lungs clear to auscultation. Abdomen has positive to sounds. She has some tenderness in the right lateral latissimus area around the int. border of her scapula. It does not appear to be point tender. It appears to be eq musculoskeletal or tendon tenderness. Upper body strength is