Case presentation A 14-year-old male is brought to the emergency department with severe diffuse abdominal pain. He has had multiple episodes of nonbloody but bilious emesis accompanying the pain. There has been no fever, diarrhea, or trauma. There are no…
Case presentation A 10-year-old male presents with 2 days of initially intermittent, now constant, abdominal pain. He states that the pain started on the right side of his abdomen and was crampy in quality, although now has become more sharp.…
Case presentation A 2-year-old male with a medical history of Hirschsprung disease requiring colectomy and ileo-anal pullthrough presents with multiple episodes of nonbilious emesis and no stool output over the past 24 hours. The mother states that she has noted…
Case presentation A 7-month-old male with a history of prematurity (27 weeks’ gestation) presents with a gastrostomy button that fell out approximately 3 hours prior to arrival. The child has had the gastrostomy button for 3 months. The mother tells…
Case presentation A 2-year-old female presents to the emergency department with wheezing and cough. The family states that she has had mild fever to 100.1 degrees Fahrenheit for the past 2 days. There has been no vomiting or diarrhea. She…
Case presentation A 7-week-old male presents with difficulty breathing while feeding for 1 day. The child is formula fed 3 ounces every 3–4 hours, but over the past 2–3 days, he has been feeding every 4 hours and not completing…
Case presentation A 10-day-old infant presents to the emergency department with 1 day of fussiness, decreased oral intake, decreased urine output, and three grossly bloody stools. There has been no fever, cough, congestion, vomiting, or rash. The child is breastfed…
Case presentation A 2-day-old patient is referred to the emergency department for failure to pass meconium. He was born at home and had prenatal care, although this was not consistent, as the mother had missed some of her appointments. The…
Case presentation A 12-hour-old infant presents “looking blue” and with poor feeding per the mother. The child was delivered at home and the mother had no prenatal care. She describes her pregnancy as uneventful. The physical examination reveals an overall…
Case presentation A 4-day-old patient presents to the emergency department with forceful emesis associated with every feed. The emesis is described as nonbloody, slightly green in color. The child has decreased feeding and activity over the past 24 hours. There…