Pediatric Hospital Medicine: A Case-Based Educational Guide (Volume 1)

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. This book is designed to supplement the educational experience of trainees during their inpatient pediatrics rotation, and its versatility allows it to be used as an educational guide to lead learning sessions or as an individual resource or study guide. Each chapter dives into an individual case that is titled with a fictitious patient name, often related to the case topic, which provides a helpful memory tool for learners. Each case includes a Documentation Tips section, designed to ensure accurate and clear communication across the interdisciplinary team that cares for hospitalized children, as well as Clinical Pearls summarizing the main chapter take-aways. Back to Basics boxes are included in cases as needed, to serve as a refresher of examination techniques, laboratory test result analysis, or other foundational information related to the cases. In addition, Health Equity Focus boxes related to social determinants of health are featured throughout the book to help clinicians recognize and address potential inequities in care. Front Matter 1 Case 1: Emma, a 16-Month-Old Girl With Vomiting and Diarrhea 22 Case 2: Anita, a 4-Month-Old Girl With Respiratory Distress 36 Case 3: Baby Girl Smith, a Newborn With Respiratory Distress 50 Case 4: Parker, a 3-Year-Old Boy With Difficulty Breathing 64 Case 5: John, a 4-Day-Old Boy With Hyperbilirubinemia 76 Case 6: Isaiah, an 8-Year-Old Boy With Shortness of Breath 92 Case 7: Rose, a 3-Week-Old Girl With Fever 108 Case 8: Austin, an 8-Month-Old Boy With Fever and Vomiting 122 Case 9: Holly, a 5-Year-Old Girl With Fever, Vomiting, and Thigh Swelling 136 Case 10: Ilyas, a 6-Year-Old Boy With Acute Abdominal Pain 152 Case 11: Judah, a 2-Year-Old Boy With Buttock Pain and Redness 164 Case 12: Maryam, a 4-Year-Old Girl With Fever and Cough 178 Case 13: Freddy, a 9-Week-Old Boy With an Episode of Decreased Responsiveness 194 Case 14: Brian, a 2-Year-Old Boy With Fussiness and Fever 208 Case 15: Liam, a 6-Week-Old Boy With Poor Weight Gain 224 Case 16: Simon, a 15-Month-Old Boy WithAbnormal Movements and Fever 242 Case 17: Polly, a 16-Year-Old Girl With Fever, Abdominal Pain, and Vomiting 254 Case 18: Payton, a 14-Year-Old Boy With Throat Pain and Fever 268 Case 19: Ida, a 15-Month-Old Girl With Pallor and Fatigue 280 Case 20: Jenny, a 14-Year-Old Girl With a Severe Headache 296 Case 21: Katelyn, a 4-Year-Old Girl With Fever and Neck Swelling 312 Case 22: Taj, a 12-Year-Old BoyWith Hyperglycemia 326 Case 23: Finn, a 2-Year-Old Boy With Fever and Leg Pain 342 Case 24: Aubree, a 15-Year-Old Girl With Recurrent Abdominal Pain 356 Case 25: Andy, a 9-Year-Old Boy With Respiratory Distress and Vomiting 368 Case 26: Janice, an 11-Year-Old Girl With Prolonged Menses 382 Case 27: Amaia, a 16-Year-Old Girl With Hematemesis 396 Case 28: Chandler, a 7-Year-Old Boy With Eye Swelling 408 Case 29: Philip, a 7-Year-Old Boy With Intermittent Abdominal Pain 422 Case 30: Alex, a 9-Year-Old Boy With Edema and Hematuria 436 Case 31: Ella, an 8-Year-Old Girl With 2 Weeks of Fever 452 Case 32: Maria, a 15-Year-Old Girl With Lower Extremity Weakness 468 Case 33: Juan, a 16-Year-Old With Shoulder Pain 480 Case 34: Bernard, a 15-Year-Old Boy With Abdominal Pain and Diarrhea 494 Case 35: Ricky, a 3-Year-Old Boy With Shaking 510 Case 36: Alberto, a 7-Year-Old Boy With Edema 524 Case 37: Reese, a 12-Year-Old Girl With Weight Loss 538 Case 38: Lily, a 6-Month-Old Girl With Fever and Lethargy 556 Case 39: Isla, a 15-Month-Old Girl With Fever and Rash 572 Case 40: Rena, a 14-Year-Old Girl With Abdominal Pain and Vomiting 588 Case 41: Malik, a 2-Year-Old Boy With Pneumonia and Persistent Fever 604 Case 42: Flora, an 8-Year-Old Girl With Worsening Epigastric Painand Emesis 618 Case 43: Scott, a 3-Year-Old Boy With Bloody Diarrhea and Decreased Urination 632 Case 44: Lucy, a 16-Year-Old Girl With Altered Mental Status 646 Case 45: Sam, a 10-Month-Old Boy With Hypoglycemia 662 Case 46: Makayla, a 16-Year-Old Girl With Fever and Blurry Vision 676 Case 47: Olive, a 4-Month-Old Girl With Lethargy and Hyponatremia 692 Case 48: Aria, a 16-Year-Old Girl With Headache and Confusion 706 Case 49: Tomás, a 17-Month-Old Boy With Worsening Respiratory Status 720 Case 50: Anna, an 11-Year-Old Girl With Medical Complexity, Fever, Increased Secretions, and Increased Seizure Frequency 734 Appendix 750 Index 766