A 6-year-old girl presents to the urgent care clinic with sy…
A 6-year-old girl presents to the urgent care clinic with symptoms of nausea, vomiting, and diarrhea. Her mother reports that she has had five loose, watery stools in the past 24 hours. Her last episode of vomiting was seven hours ago and she has been refusing fluids. The patient is awake and cooperative with the exam and her vitals are within normal limits for age. She is urinating less than baseline. Which of the following is the most appropriate next step in management?
Read DetailsA 7-year-old boy presents to the provider complaining of abd…
A 7-year-old boy presents to the provider complaining of abdominal pain and decreased appetite that started two days ago. Initially, the pain was periumbilical but in the last 24 hours it has become more localized in the right lower quadrant. The patient vomited once this morning, and he is more uncomfortable when walking or moving around. On exam, the patient is found to have a temperature of 101℉. Also, there is right lower quadrant tenderness, a positive Rovsing sign and rebound tenderness. Which of the following is the most likely diagnosis?
Read DetailsAn 9-year-old presents to the office with a 2-week history o…
An 9-year-old presents to the office with a 2-week history of low-grade fever, malaise, sore throat, headache, and worsening cough that has become more productive. His caregiver states that his brother had similar symptoms last month. He has received ibuprofen as needed. On physical examination, he has a nontoxic appearance. He has a low-grade fever of 100.4°F and a heart rate of 102 bpm. There is some pharyngeal injection and mild rales are heard throughout the bilateral lung fields. Which of the following organisms is the most likely cause of his condition?
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