Post a response to the following assessment and plan by 11:59pm (est) on thursday:

Analyze this case as you would a client in a clinical setting. You may use your class texts, your pathophysiology text, peer-reviewed journals, and any other reputable sources necessary to help you plan care for this client.
Read the following case study:
Subjective data:
Patient initials: LT
Age: 20 months
Gender: female
Ethnicity: Caucasian
Allergies: NKDA
Informant: mother
Last Clinic Visit: 2 months ago for wellness check, and 9 days ago for sick visit with CC: fever and diarrhea
Parents/Living status: mother and father living
Siblings (age and gender): two older siblings, ages 10 and 6
Family History: PGM with hypothyroidism and hyperlipidemia and CV disease (stent placement in her 50s)
Past Medical History: chronic OM, hip click noted on first two well checks, bilateral hip radiographs negative and has not been noted further
Past Hospitalizations/Injuries: PE tube placement 6 months ago
Development/School Issues: no developmental delays
Activities of Daily Living: no daycare, stays home with mom, active
Immunizations: current
Current medications: Tylenol and Motrin as needed for fevers
Mom presents with patient today and is concerned as the patient has a 2-day history of fever. Temp max 103. Mom reports patient with loose stools for 11 days now, typically having 4–5 loose stools per day. Presented to the clinic approximately 8 days ago with fever and diarrhea for 3 days and subsequent rash. The rash was fairly extensive and noted on the patient’s face, legs and trunk. (MD note described the rash as blanching papules). Over the past week, the rash has cleared significantly and only remnants remain at this time. Denies scratching or itching. No topical agents have been applied. The previous fever lasted for 3 days and stopped. The patient is here today with a 2-day history of fever, and mom is concerned as the patient has had a significant decrease in appetite and PO intake in general. One wet diaper today (4:00pm). Mom states the child will cling at times and at other times be inconsolable. Also reports patient seems “sluggish and drowsy,” especially with high fevers. Mom states, “She’s just not been herself for what seems like a long time now.” Poor sleep the past 2 nights. No one sick at home, although both siblings have started back to school in the past 2 weeks. Mom is primarily concerned about the loose stools, fever, and poor PO intake. Denies history of vomiting. Rare cough, minimal congestion.
Objective data:
Weight: 24 lbs.
T: 102.5
HR: 120
RR: 24
General appearance: fussy at times during exam, though smiling at examiner at times as well. Nontoxic appearing.
Skin: faint, scattered papules to face, trunk, and back, + blanching
Head: symmetrical
Eyes: + red light reflex, no drainage
Ears: bilateral PE tubes intact and patent
Nose: bilateral nares essentially clear, scant clear nasal drainage noted
Mouth/Throat: free of erythema or exudate
Neck: supple, no LAD
Chest and Lungs: Clear to auscultation bilaterally (CTAB) without wheezing
Heart: RRR without murmurs or gallops
Abdomen: soft, +BS, no hepatosplenomegaly
Musculoskeletal: MAE
Neuro: good tone, fussy at times
Post a response to the following assessment and plan by 11:59PM (EST) on Thursday:
Assessment:
Provide the diagnosis.
Provide the differential.
Provide rational for this diagnosis.
Plan:
Describe the diagnostic tests ordered (any pending labs go here). This must be supported by the diagnosis and differential.
Provide treatments for this problem (medications and other therapeutic measures). Provide recommendations for this diagnosis only.
Include any health maintenance concerns of immunizations, nutrition, growth and development, and safety. Include anticipatory guidance.
Explain cost concerns with this treatment or community resources.
Recommend a follow-up (when patient should call or RTC).
Determine if a referral is needed.
List references here, and summarize in your own words the current research on this diagnosis and plan of care. List national guidelines used.
Address any sociocultural, financial, or other considerations.
Cite at least 1 relevant article within the last five 5 to support your claim.