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 34: Bernard, a 15-Year-Old Boy with Abdominal Pain and Diarrhea
"Bernard, a 15-Year-Old Boy with Abdominal Pain and Diarrhea", 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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Bernard is a 15-year-old boy with no significant medical history who presents to the emergency department (ED) with abdominal pain and diarrhea that he has had for about 2 weeks. The ED physician calls you because she is concerned about his pain and hydration status and would like you to evaluate him for possible admission. She also mentions that Bernard has noticed blood in his stool for the past 2 to 3 days. In the ED, Bernard received a 1-L intravenous (IV) bolus of normal saline (0.9%) for tachycardia and dehydration and 1 dose of IV morphine for his abdominal pain, which is a 7 on a scale of 10. After speaking to the ED physician, you begin your patient evaluation.