#4852 Topic: Case Study-Clinical Reasoning assignment

URN: QUT19732 | PATIENT: Brickland, Matthew

DOB: 7/5/XXXX | Room: 449

Matthew is a 14 year old adolescent with Cystic Fibrosis.

He was visited at home by the Hospital in the Home team

for IV antibiotic therapy received via his portacath. Matthew

has a frequent productive cough. He tells you that his

sputum has changed from yellow to greenish in colour

recently. His respiratory rate is 22 breaths/min and he has

crackles upon auscultation. His temperature is 37.6 C.

Matthew’s mother confides that she is worried about her

son as he hasn’t been engaging in as much aerobic sport

and physio lately and she has seen Matthew discarding

tablets (pancrease capsules) in the rubbish bin. When you

weigh Matthew you note that he has lost 2 kgs of weight

since your last visit 2 months ago. His weight is 47kgs and

his height is 168cms. You speak with Mathew’s doctor who

organises his admission to hospital.