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- Exam (elaborations) • 2 pages • 2023
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Tommy Acker is a 26-month-old male patient who presented with his mother for multiple 
complaints including: abdominal pain, bruising on his abdomen, vomiting x 1, lethargy, and loss of 
appetite. Tommy, who has Down syndrome, lives with his single mother and three other siblings. The 
mother admitted to having a low-income job and not being able to afford childcare. Her boyfriend, 
who she stated doesn’t like children and fellow neighbors help take care of Tommy. These factors 
increase T...
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