Description

Miah is a 21m AA female presenting to clinic with her mother for complaints of swollen hands and feet x 2 days that is so painful she cannot bear weight nor wants to be touched. Appetite is decreased. Not playing like she normally does. Her sleeping patterns have changed. Upon assessment, Her abdomen is distended with an enlarged spleen. Scleral Icterus is also noted. The mother does not know the patient’s familial history as she was adopted from Haiti as a baby. Ever since being adopted, Miah has been UTD on her vaccines and well child visits.