Vomiting PEDs MDM

BENIGN
Pt is fully immunized, presenting with ___ days of NBNB emesis.

Afebrile, nontoxic appearing, no abdominal pain or peritoneal signs on exam.
Given well appearing status and history, low suspicion for frank obstruction/voluvulus/malrotation, intussusception, torsion, UTI, or significant intra-abdominal infection including atypical appendicitis.  No e/o head trauma or abuse; doubt ICH. Euvolemic on exam.
POC glucose WNL, not DKA
Symptomatic control, PO trial, reassess.

 


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