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 42: Flora, an 8-Year-Old Girl with Worsening Epigastric Pain and Emesis
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Published:August 2022
"Flora, an 8-Year-Old Girl with Worsening Epigastric Pain and Emesis", 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
Overnight while you are cross-covering patients, a nurse calls you with concerns about Flora, a patient whose abdominal pain is worsening, and requests that you evaluate her. You review your patient list and see that Flora is an 8-year-old girl who was admitted from the emergency department (ED) earlier that day with 2 days of abdominal pain and emesis. The admitting team noted signs of dehydration and mild abdominal tenderness and diagnosed her with suspected viral gastroenteritis. She was started on maintenance intravenous (IV) fluids, as well as ondansetron and acetaminophen as needed.
