History of Present Illness:
A mother brings her 8 month old daughter to the ER for bloody stool. Mom states the child was doing well until about a week ago when she developed a runny nose followed by irritability and some crying. She was seen by her pediatrician yesterday and diagnosed with an ear infection. There has been no vomiting, fever, cough or SOB but stools have been a little loose. The child is otherwise healthy and up to date on vaccinations. Other than the antibiotic, mom has been giving ibuprofen for pain.
Vital Signs & Physical Exam:
Vital signs are normal and the child is happy, smiling and skin color is normal. Physical exam is otherwise normal. An image mom saved of a full diaper is shown below.
What is the most likely diagnosis?
- A) Gastritis from ibuprofen
- B) Hematochezia from a cracked nipple
- C) Stool color change from drug interaction
- D) GI bleed from Meckel’s diverticulum
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
<<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>>
THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA
Emergency Medicine 1-Minute Consult, 5th edition
A-to-Z EM Pharmacopoeia & Antibiotic Guide, NEW 5th edition (currently printable pdf only)
8-in-1 Emergency Department Quick Reference, 5th edition
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<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>
ANSWER: What is the most likely diagnosis?
- A) Gastritis from ibuprofen
- B) Hematochezia from a cracked nipple
- C) Stool color change from drug interaction
- D) GI bleed from Meckel’s diverticulum
1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook
CASE CONCLUSION:
CASE LESSONS: