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 31: Ella, an 8-Year-Old Girl with 2 Weeks of Fever
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Published:August 2022
"Ella, an 8-Year-Old Girl with 2 Weeks of Fever", 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
A pediatrician in your community calls to request a direct admission for Ella, an 8-year-old girl who has had 2 weeks of fever in the setting of recent international travel. Her pediatrician reports that Ella has been having daily fevers to 40 °C (104 °F), prompting 2 visits to the office during that time. Ella has also had intermittent, crampy abdominal pain for the last 2 or 3 days. Ella’s pediatrician ordered outpatient laboratory tests last week, but her family was unable to have them done because of transportation barriers. The pediatrician asks you to admit Ella to expedite the evaluation of her fever of unknown origin (FUO).