Ali is a 5-week-old baby boy who presents to outpatient clin…
Ali is a 5-week-old baby boy who presents to outpatient clinic with 4 days of repeated, forceful, non-bilious, non-bloody vomiting without diarrhea. He has 8 to 9 episodes of vomiting per day immediately following breastfeeding. The episodes started 2 weeks after the entire family suffered from severe viral gastroenteritis. His birth history is uncomplicated (full term, NSVD, unremarkable 30-week ultrasound) and birth weight was 3.6 kg (50th percentile). On exam, his vitals are: T 36.7°C, HR 185, BP 85/45, RR 38, Wt 4.1 kg (25th percentile). On exam, his eyes are moderately sunken without production of tears, his lips are cracked, and his throat is without erythema. His capillary refill is approximately 3 seconds, and his pulse is thready. What is your first step in management?
Read DetailsAs part of the evaluation in a febrile 18-month-old female,…
As part of the evaluation in a febrile 18-month-old female, the following WBC count with differential is obtained:WBCs 6100/mm (normal 6.0 – 17.0 X103/µL)Neutrophils 35% (normal 40% to 70%)Bands 3% (normal 0% to 4%)Lymphocytes 52% (normal 30% to 40%)Reactive lymphocytes 10%These results increase the likelihood that the cause of child’s infection is:
Read DetailsA 22 year old woman of Asian descent presents for lab follow…
A 22 year old woman of Asian descent presents for lab follow up. She has no presenting complaints. Her lab result: Hgb = 10.1g (normal 12-14); Hct = 28% (normal 36% to 42%); RBC = 5 million mm3 (normal 3.2 to 4.3 million mm3); MCV = 68fl (normal 80-96fl); MCHC =27 g/dl (normal 32-36g/dl); RBC distribution width (RDW) = 13% (normal < 15%).; Reticulocytes = 1.5% (0.5- 2%); The results of the hemogram is most consistent with
Read Details