A 6 month old male patient presents to your clinic with his mother. The mother’s chief complaint is that the baby has had a fever and diarrhea for several days and is not nursing as much as usual. The infant is quiet and warm, lung sounds are clear, heart sounds normal. No medical history, born healthy at 39 weeks 5 days via uncomplicated vaginal delivery, he is exclusively breast fed and is up-to-date on his vaccinations.
5 questions to you would ask the mother?
1. How high was the temperature and what have you been giving to treat the temperature?
2. Anyone else in the family sick?
3. Does the child attend daycare?
4. How many episodes of diarrhea does the child have per day? Is there any blood in the diarrhea?
5. How many wet diapers per day are you changing?
What additional signs/symptoms would alert you that this infant may need to be transferred to the ED?
Burns, C. E., Burns, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Garzon, D. L. (2017). Pediatric primary care(6th ed.). St. Louis, MO: Elsevier.
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