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 45: Sam, a 10-Month-Old Boy with Hypoglycemia
"Sam, a 10-Month-Old Boy with Hypoglycemia", 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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Sam, a 10-month-old boy who was born full term, presents to the emergency department (ED) with vomiting, diarrhea, and lethargy. During the ED evaluation, he is found to have a point-of-care (POC) glucose level of 37 mg/dL (2.05 mmol/L). He is unable to tolerate oral intake; therefore, he is given an intravenous (IV) bolus of dextrose 10% in water totaling 5 mL/kg. A repeat POC blood glucose level is obtained, which is 82 mg/dL (4.55 mmol/L). Sam is then placed on maintenance IV fluids of 5% dextrose in normal saline. Afterward, he is still sleepy and shows no interest in drinking but is becoming more responsive. Because he is young and is still showing no interest in drinking fluids, the ED physician calls you to evaluate him for admission.