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PEDIATRICS


VOMITING
AND
DIARRHEA


HPI:
THE
PATIENTS
MOTHER
CALLED
C/O
18‐MONTH‐OLD
MALE
CHILD
WITH
VOMITING
AND
DIARRHEA

SINCE
YESTERDAY.
IT
IS
BROWN
AND
WATERY;
THE
CHILD
IS
TIRED,
IRRITATED,
AND
CRYING

CONSTANTLY.
MOTHER
STATES
THE
CHILD
IS
NOT
SLEEPING,
AND
IS
TO
EAT
OR
DRINK
MILK.
THE
CHILD

GOES
TO
DAY
CARE.
MOTHER
DENIES
COUGH,
DYSURIA,
OR
RASH.


ROS:
NEGATIVE
EXCEPT
AS
NOTED
ABOVE

ALLERGIES:
NKDA

MEDS:
NONE

PMH:
NONE

SH:
LIVES
AT
HOME
WITH
PARENTS
FIRST
CHILD,
NO
COMPLICATIONS

BIRTH
HISTORY:
38
WEEK
VAGINAL
DELIVERY,
7LBS
3OZ,
JAUNDICE
AT
BIRTH
WITH
NO
OTHER

COMPLICATIONS

DIET
HISTORY:
BREAST
FEEDING,
BABY
FOOD
AND
MULTIVITAMINS

IMMUNIZATIONS:
UTD

DEVELOPMENTAL
HISTORY:
LAST
CHECK
UP
4
MONTH
AGO,
NORMAL,
WEIGHT,
HEIGHT

VISION/HEARING
MILLSTONES


PHYSICAL
EXAM

NONE

DD:

DEHYDRATION

GASTROENTERITIS

ROTAVIRUS

UTI

VULVULUS


WORK
UP

PHYSICAL
EXAM

U/A

ELECTROLYTES

GLUCOSE

BUN

STOOL
FOR
ROTAVIRUS


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