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eMedicine Radiograph Case 30   Message List  
Reply | Forward Message #400 of 1276 |



eMedicine's Case Studies program delivers unique and educational patient cases to healthcare professionals.

Young Girl With Vomiting and Intermittent Crying

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BACKGROUND
A 15-month-old girl presents to the emergency department with vomiting and a fever. Her parents also report that she has had intermittent crying followed by episodes of projectile nonbilious emesis. She appeared comfortable and playful after these episodes. At home, her temperature was 102°F (39°C); however, now she is afebrile. She appears sleepy but is arousable. Her heart rate is 130 beats per minute, and her respiratory rate is 32 breaths per minute. Her lips and oral mucosa are dry. Her abdomen is soft and nondistended. She has mild tenderness in her right upper quadrant and scant bowel sounds. No masses or hernias are noted. Rectal examination findings are normal. The patient's stool shows no occult blood.
Hint
The patient has a paucity of bowel gas.
Author: Muhammad Waseem, MD
Assistant Professor of Emergency Medicine, Weill Medical College of Cornell University; Consulting Staff, Department of Emergency Medicine, Lincoln Medical and Mental Health Center
eMedicine Editor:   Sat Sharma, MD
Associate Professor, University of Manitoba, Department of Medicine, Division of Pulmonary Medicine


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Dr Santosh Kondekar,
MD DCH FCPS DNB
from: Seth GS Medical college & KEM Hospital Mumbai, India
PAEDIATRICS YAHOOGROUPS

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Mon Mar 1, 2004 3:42 am

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eMedicine's Case Studies program delivers unique and educational patient cases to healthcare professionals. Young Girl With Vomiting and Intermittent Crying ... 		Dr Santosh Kondekar, ...
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