The Case of Nick Smith - 1178 Words

Mr. and Mrs. Smith bring their son Nick to the clinic a few weeks early for his 12 month follow up. The nurse, Joel, measures Nick’s height, weight and vital signs. Joel notices that his weight is only around the 25th percentile for his age. After a brief screening with Joel, Dr. Mike Leonard, the pediatrician, enters the room for the appointment. He greets the family cheerfully and asks how Nick is doing. Mr. and Mrs. Smith express concern. Nick has been finicky about eating since the last appointment and does not seem to have gained much weight. In addition to that, Nick is frequently cranky and no longer likes being picked up and held. He has also been displaying less activity lately. He just doesn’t seem to have the energy. He is not the sweet, sociable, enthusiastic child they are used to. The doctor comments that he had noticed that Nick did not seem as alert and cheerful as he had on previous visits. The parents are especially distressed that Nick has still not yet begun to crawl at an age when many children are already walking. The doctor examines Nick. The child’s skin appears pale. Dr. Leonard discovers a small lump on Nick’s abdomen. Nick does not appear distressed when the doctor examines the lump. He also tests Nick’s reflexes and motor coordination. They are not as good as they should be. What might be causing Nick’s pallor? What are some possible causes of Nick’s weight loss? What might Dr. Leonard suspect is wrong with Nick? What tests should Dr. LeonardShow MoreRelatedHuman Trafficking : A Form Of Modern Day Slavery1394 Words   |  6 Pagesis not the only type that defines human trafficking. There are few more types, such as debt bondage or bonded labor. Though it is the least common type of human trafficking, victims are forced to work in order to pay a debt (â€Å"Types of†). In Keisha’s case, she was forced into sex work to pay her debt. Keisha, a sixteen year old African American teenager, ran away from her foster family to avoid sexual harassment. Then, she found herself in debt bondage and commercial sexual exploitation when she metRead MoreThe Grat Gatsby by F. Scott Fitzgerald677 Words   |  3 Pagesconveyed through Gatsby’s incorruptible dream of his past. Overall, Gatsby whole incorruptible dream is repeating the past and getting Daisy to love him. Cant repeat the past? he cried incredulously. ’Why of course you can! (Fitzgerald 116). Nick Carraway, the narrator, supports the belief that Gatsby cannot repeat the past, and in fact no one can repeat the past. Yet, Gatsby is unwilling to succumb to the terms that what he wants is not possible to grasp. Gatsby comes back from his departureRead MoreViews of Entitlement in the Great Gatsby1596 Words   |  7 Pagesmother’s inheritance – ( Prigozy, 13) Fitzgerald at once both idolized and despised the lavish lifestyle of the Roaring Twenties. 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While it is not clear how much ChinaworksRead MoreEssay about A Mans Struggle to Heal Himself in Big Two-Hearted River2975 Words   |  12 Pagesarea where the water moves very slowly, if at all; however, Nick describes the river as being lined with boulders, having a pebbly bottom, and fast moving water (209). Twitchell points out the inconsistency: [S]wamps and the streams that feed them are muddy, not rocky; they do not have rocks--and certainly not boulders--near them (275). Through this type of reading, we are able to see the great contrast that exists, especially for Nick, between the river with its fast moving current and the darkRead MoreShould Stud ent Athletes Be Paid?1270 Words   |  6 Pageseven mentioning a social life, a student athlete s daily schedule is already packed full. Typically, a student athlete wakes up, goes to a workout that is followed by classes, then another workout, and finally time for studying and homework. In many cases, a college athlete s friends mainly consist of their teammates because they are actually able to see them and they do not have much time for anything else. Not only do the workouts and games take up a majority of free time for student athletes, itRead MoreEminent Domain Should Be Used For The Good Of Mankind Essay1390 Words   |  6 Pages(1286). It seems nowadays companies use eminent domain for their own selfishness and back in 1867 a logical reason would be the purpose of national land. Hudson also mentioned eminent domain’s first constitutional issue. Back in the early 1890’s; a case has rose where Southern Kansas Railway is fighting for the right to build railroads and telephone lines through the Indian territory Cherokee Nation. There are many ups and only a few downs for eminent domain.   A big downside being people lose theirRead MoreMethods of Data Analysis in Qualitative Research1580 Words   |  7 Pagesand see if it fits the hypothesis. 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The workplace is a very competitive environment and the key to competitiveness will be gaining, transforming, and generating knowledge, which can be useful for the employee and employer alike. There are many reasons and justificationsRead MoreEssay about Workplace Literacy and Effective Communication1253 Words   |  6 Pagescompany-sponsored workshops to improve workers’ writing skills. Workplace literacy involves instruction in basic skills of reading, writing, or mathematics, and the application of these skills to areas such as communication, teamwork, and problem solving (Smith, 2000, p. 378). The workplace is a very competitive environment and the key to competitiveness will be gaining, transforming, and generating knowledge, which can be useful for the employee and employer alike. There are many reasons and justifications