This educational guide provides a much-needed subspeciality-specific learning resource for pediatric hospital medicine. Featuring 50 of the most commonly presenting topics encountered by pediatric hospitalists, this book brings readers into the morning meeting and walks them through patient presentation, diagnosis, treatment, and resolution, providing realistic examples in an engaging case-based format. Available for purchase at https://shop.aap.org/pediatric-hospital-medicine-a-case-based-educational-guide-paperback/
Case 1: Emma, a 16-Month-Old Girl with Vomiting and Diarrhea
"Emma, a 16-Month-Old Girl with Vomiting and Diarrhea", Pediatric Hospital Medicine: A Case-Based Educational Guide, American Academy of Pediatrics, Melissa G. Cossey, MD, FAAP, Lauren K. Gambill, MD, MPA, FAAP
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Emma is a 16-month-old girl with no significant medical history who presents to the emergency department (ED) with intractable vomiting and diarrhea. In the ED, she is found to have mild tachycardia and tachypnea. Emma is given a dose of oral ondansetron, but she continues to have vomiting after an oral challenge. She is then given an intravenous (IV) fluid bolus of normal saline (0.9%) at 20 mL/kg, and you are called with a request to evaluate her for admission. After speaking to the physician caring for her in the ED, you begin your patient evaluation.