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 11: Judah, a 2-Year-Old Boy with Buttock Pain and Redness
"Judah, a 2-Year-Old Boy with Buttock Pain and Redness", 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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Judah is a 2-year-old boy who presents to the emergency department (ED) with 4 days of worsening redness, pain, and swelling to his left buttock. He saw his pediatrician 2 days ago and was prescribed cephalexin for a presumed skin infection. His symptoms have continued to worsen despite taking the cephalexin as prescribed. Over the last day, he has also had poor oral intake, decreased urine output, and fever. In the ED, he is started on intravenous (IV) clindamycin and fluids. The ED physician requests that you evaluate Judah for admission given that his symptoms have not responded to outpatient antibiotic treatment.