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 18: Payton, a 14-Year-Old Boy with Throat Pain and Fever
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Published:August 2022
"Payton, a 14-Year-Old Boy with Throat Pain 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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CASE PRESENTATION
Payton, a healthy 14-year-old boy, presents to the emergency department (ED) with a sore throat and difficulty swallowing for the last 4 days. This morning, he woke up with worsening throat pain and fever, so his father brought him to the ED. In the ED, Payton is unable to swallow oral pain medications secondary to odynophagia. For this pain, he is given a dose of intravenous (IV) ketorolac that results in mild improvement. The ED physician caring for him notes that he is tachycardic and is concerned that Payton is dehydrated. To address his dehydration, the ED physician administers a 1-L IV bolus of normal saline (0.9%). The physician in the ED calls you to express concern that Payton will not be able to tolerate oral fluids at home and requests that you evaluate him for admission to the inpatient unit.
