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 19: Ida, a 15-Month-Old Girl with Pallor and Fatigue
"Ida, a 15-Month-Old Girl with Pallor and Fatigue", 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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Ida is a 15-month-old girl who presents to her pediatrician for a health supervision visit. Her parents express that Ida seems more pale and tired than normal but otherwise has been doing well. Her pediatrician checks a complete blood cell count (CBC), and Ida is found to have anemia with a hemoglobin level of 5.4 g/dL (54 g/L). Her pediatrician is concerned that Ida might need a red blood cell (RBC) transfusion, and she calls you to consider a direct admission to your hospital for further evaluation and treatment. You agree that Ida should be admitted. You discuss the family’s preferences and Ida’s current hemodynamic stability with Ida’s pediatrician, and you agree that private transport from home would be appropriate. An hour later you are notified of Ida’s arrival to the unit by her nurse.