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 7: Rose, a 3-Week-Old Girl with Fever
"Rose, a 3-Week-Old Girl with Fever", 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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Rose, a 3-week-old previously healthy girl, is being admitted to the general pediatrics unit from the emergency department (ED) where she was seen for fever and decreased oral intake. In the ED, she had a rectal temperature of 39.5 °C (103.1 °F), an intravenous (IV) line was placed, blood was drawn for laboratory tests, a urine specimen was collected for analysis, and a lumbar puncture (LP) was performed. Additionally, Rose was given an IV fluid bolus of normal saline (0.9%) at 20 mL/kg and received IV antibiotics. You were called with a request for admission.
After speaking to the physician caring for Rose in the ED, you begin your evaluation to start the admission process.