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 40: Rena, a 14-Year-Old Girl with Abdominal Pain and Vomiting
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Published:August 2022
"Rena, a 14-Year-Old Girl with Abdominal Pain and Vomiting", 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
Rena is a 14-year-old girl with no underlying medical diagnoses who presents to the emergency department (ED) for severe right lower quadrant (RLQ) abdominal pain and vomiting. In the ED, she has moderate relief of symptoms after a dose of morphine, ondansetron, and a normal saline bolus. The physician in the ED obtains an RLQ ultrasound that shows a well visualized, normal appendix. A pediatric surgeon is consulted and determines that Rena has a nonsurgical abdomen. The ED physician calls you with a request that you evaluate Rena for hospitalization to provide pain control, hydration, and further evaluation if needed.
