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 43: Scott, a 3-Year-Old Boy with Bloody Diarrhea and Decreased Urination
"Scott, a 3-Year-Old Boy with Bloody Diarrhea and Decreased Urination", 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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Scott is a 3-year-old boy with no significant medical history who is being admitted from the pediatric emergency department (ED) after presenting with 5 days of diarrhea. His parents are worried because his stools now contain blood, and they have noticed fewer wet diapers over the last 24 hours. In the ED, Scott received 2 fluid boluses totaling 40 mL/kg of normal saline (0.9%), he was started on intravenous (IV) fluids at his maintenance rate, and his stool was confirmed to be heme-positive by fecal occult blood testing. Laboratory tests were also performed and are pending. You arrive at Scott’s bedside to admit him to your unit and learn more about his history and symptoms.