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 30: Alex, a 9-Year-Old Boy with Edema and Hematuria
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Published:August 2022
"Alex, a 9-Year-Old Boy with Edema and Hematuria", 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
You are working an overnight shift when your attending physician asks you to evaluate a direct admission patient who just arrived as a transfer from an outside hospital’s emergency department (ED). You are told that the patient, named Alex, is a 9-year-old boy who presented to that ED with dark urine, fatigue, and eye swelling. At the outside ED, his urine dipstick was positive for the presence of blood; therefore, the ED physician requested transfer to your hospital so that Alex’s symptoms could be further evaluated at a children’s hospital.