Case 4: Abdominal Distention in a 12-month-old Girl
| Autor: | Kathryn H. Pade, Courtney Brennan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Respiratory rate Vital signs Physical examination Tachypnea Diagnosis Differential 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans 030212 general & internal medicine medicine.diagnostic_test business.industry Infant Emergency department Dysphagia medicine.anatomical_structure Blood pressure Pediatrics Perinatology and Child Health Abdomen Female medicine.symptom business Digestive System Abnormalities |
| Zdroj: | Pediatrics In Review. 41:492-494 |
| ISSN: | 1526-3347 0191-9601 |
| DOI: | 10.1542/pir.2018-0213 |
| Popis: | 1. Courtney Brennan, MD* 2. Kathryn Pade, MD† 1. *Department of Emergency Medicine and Transport, Children’s Hospital Los Angeles, Los Angeles, CA 2. †Department of Emergency Medicine, Rady Children’s Hospital, San Diego, CA A 12-month-old previously healthy girl presents to the emergency department for 3 months of progressive abdominal distention. They note that her abdomen has seemed very firm in the past month and it seems to be causing her discomfort. Parents report that she has continued to breastfeed for 10 to 15 minutes at a time but will often fall asleep during feedings, and she has been refusing to eat solid foods in the past month. They deny any dysphagia. She has maintained her normal urine output, and they deny any vomiting or changes in her stooling. She had been meeting developmental milestones appropriately, but she has seemed more tired in the past 2 to 3 months and no longer wants to crawl or sit unassisted. Her verbal and fine motor skills have continued to progress. They deny any known changes to her growth parameters. She had an upper respiratory tract infection approximately 2 weeks earlier. Review of systems is otherwise negative. Physical examination reveals an alert, smiling, and interactive infant. Vital signs are significant for tachypnea (respiratory rate of 48 breaths/min) and initial hypertension (blood pressure of 110/98 mm Hg), but a normal temperature of 99.9°F (37.7°C), heart rate of 122 beats/min, and oxygen saturation of 97%. Her weight is at the 71st percentile for age. Her lungs are clear to auscultation, and her heart rate is regular … |
| Databáze: | OpenAIRE |
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