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 20: Jenny, a 14-Year-Old Girl with a Severe Headache
"Jenny, a 14-Year-Old Girl with a Severe Headache", 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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Jenny is a 14-year-old girl who is being seen in the emergency department (ED) for a severe headache that started 3 days ago. The ED physician reports Jenny has a history of recurrent headaches and currently has a normal neurologic examination. At home, Jenny tried ibuprofen and sumatriptan for her pain without any relief. In the ED, she receives intravenous (IV) ketorolac, a normal saline bolus, diphenhydramine, and prochlorperazine without significant improvement in her pain. The ED physician requests that you evaluate Jenny for admission to provide her with ongoing treatment and further evaluation of her symptoms, if needed.