Index of suspicion * Case 1: Abdominal pain, fever, and cough in a 3-year-old boy. * Case 2: Emesis, irritability in 9-year-old boy who has autism. * Case 3: Skin lesions and pulmonary nodules in a 17-year-old boy.

摘要

A mother brings her 3-year-old son to the emergency department (ED) for 1 day of abdominal pain and subjective fever. The mother states that the boy generally is healthy. He has not had any nausea, vomiting, or diarrhea, but he has been eating less than normal and has been constipated for 3 days. He coughs occasionally but does not have shortness of breath. He was treated 3 days ago for right otitis media with high-dose amoxicillin at another ED. His immunization status does not meet the recommended standards.