Case #6 -- A 7-Year-Old Girl With Fever, Vomiting, and Abdominal Pain

Sabina Ali, MD, Yih-Ming Yang, MD, Andrew B. Walker, MD, Michael M. Fuenfer, MD

July 15, 2003


A 7-year-old white girl presented with an 11-day history of fever, cough, abdominal pain, and vomiting. Her mother reported that her fever was up to 103° F and was associated with dysuria, decreased oral intake, and mild lethargy. Her past medical history was negative.

Oral temperature: 99.8° F, pulse: 125, respiratory rate: 20 /min, blood pressure: 120/67 mm/Hg, weight: 23.8 kg, peripheral oxygen saturation: 99%.

The patient was alert and coughing intermittently. Her heart was rhythmic and breath sounds were clear on auscultation. The abdomen was soft, with mild tenderness to deep palpation over the left lower quadrant; bowel sounds were audible and no hepatosplenomegaly was noted. The remainder of the physical examination was normal.


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