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 14: Brian, a 2-Year-Old Boy with Fussiness and Fever
"Brian, a 2-Year-Old Boy with Fussiness and 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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You are on night call in the hospital, and a nurse pages you to speak with parents who are concerned about their son’s clinical status. The patient is a previously healthy 2-year-old boy named Brian. You review your patient list and see that Brian was admitted yesterday for intravenous (IV) rehydration after experiencing fever, vomiting, poor oral intake, and diarrhea. The team caring for him attributed his symptoms to a viral infection. His nurse reports that his parents are concerned because, although his oral intake has improved, his fevers have not resolved, and he remains fussy. As you speak with the nurse, you begin to wonder if Brian’s symptoms reflect something other than a routine viral illness.