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 26: Janice, an 11-Year-Old Girl with Prolonged Menses
"Janice, an 11-Year-Old Girl with Prolonged Menses", 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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Janice, an 11-year-old previously healthy girl, presents to the emergency department (ED) with dizziness and fatigue. In the ED, she reports that she is currently menstruating, and today she has been saturating 1 pad nearly every hour. In the ED she is given a normal saline (0.9%) bolus and started on maintenance intravenous (IV) fluids containing dextrose. The ED physician is concerned about the volume of her bleeding and calls you to request that you evaluate Janice for admission.