Answer:
The child seems to have an infective endocarditis probably because of the skinned knee which could have acted as a route for transmission into the body and reaching the heart and causing infection leading to increased in body temperature with chills(typical signs), pounding or rapid heart rate. This also exhibits an abnormal heart murmur .It can found in children if they have some skin injury.
Treatment:
-Antipyretics to reduce temperature
-Antibiotics to treat infection
-Skin hygiene to prevent entry of bacteria via open end
-Daily dressing as per need to prevent
-multiplication and growth of microorganisms
You would have physical manifestations of Ecchymosis
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By conducting experiences and understanding the children’s environments from know or when they were older
