Medical decision making

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Medical Decision Making: is a who presents for evaluation of vomiting. Results of our evaluation are consistent with viral gastroenteritis at this time. Other diagnoses such as foreign body, bowel obstruction, intussusception, appendicitis, intolerance of fluids are unlikely given his examination and response to treatment. At this time, our plan will be to discharge home with supportive cre. The family verbalized understanding of the diagnosis and treatment plan Chief Complaint Patient presents with •GI Vomiting Last night playing with small metallic pieces. This am, emesis with anything fluid or swallow since 0430. Has had one wet diaper today. "Not acting like himself." more sudbdued and keeps wanting to go to sleep. HPI: is a with no significant past medical history that presents with father for evaluation and management of vomiting. Symptoms began this morning with vomiting at 4am. has had 5 episodes of NBNB emesis since that time and is not able to keep fluids down. Has been more sleepy and fussy since that time. No fevers, diarrhea, URI symptoms, cough, rashes, changes in gait. ROS: Complete ROS revealed: Constitutional: Negative; HEENT: Negative; Respiratory: Negative; Cardiovascular: Negative; Gastrointestinal: See history of present illness; Genitourinary: Negative; Reproductive/Endocrine: Negative; Musculoskeletal: Negative; Hematology/Lymphatic:

Reference no: EM133767149

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