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 24: Aubree, a 15-Year-Old Girl with Recurrent Abdominal Pain
"Aubree, a 15-Year-Old Girl with Recurrent Abdominal Pain", 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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Aubree, a healthy 15-year-old girl, presented to the emergency department (ED) earlier today with recurrent abdominal pain and nausea that has not been controlled with acetaminophen at home. This is the third time in the last 4 months that Aubree has visited the ED with similar symptoms. Her mother decided to bring her to the ED today because her pain has increased in severity for the past 6 hours, and she was not tolerating liquids due to pain and nausea. In the ED, the team gave her an intravenous (IV) fluid bolus, acetaminophen, and ondansetron with minimal relief of her pain and nausea. The ED team also obtained a 2-view abdominal plain radiograph that did not demonstrate any free air or obstruction. Given her uncontrolled pain and intolerance of oral liquids, the ED physician calls you to evaluate Aubree for admission.