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 41: Malik, a 2-Year-Old Boy with Pneumonia and Persistent Fever
"Malik, a 2-Year-Old Boy with Pneumonia and Persistent 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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You are working an overnight shift when you are called to the bedside of Malik, a patient on the inpatient unit. Malik is a 2-year-old boy who has been hospitalized for 2 days while being treated for community-acquired pneumonia (CAP). Since his admission, he has been receiving intravenous (IV) fluids and empiric IV ampicillin, and he has been requiring between 0.5 and 1 L/min of supplemental oxygen via nasal cannula for mild hypoxemia. Malik’s nurse reports that his parents have concerns about his lack of improvement despite treatment with antibiotics and wish to speak to a physician.