Discussion 1 A 3-year-old male presents to clinic with his mother who is saying

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Discussion 1
A 3-year-old male presents to clinic with his mother who is saying

Discussion 1
A 3-year-old male presents to clinic with his mother who is saying that over the course of the day her son has not been acting like himself. He has been vomiting and has had currant-jelly-like bloody stools. He has also been very lethargic. Upon assessment, you find a RUQ mass.
1. What diagnosis do you suspect?
2. What are some GI differential diagnosis?
3. What treatment protocol does he need? Non-pharmacological and Pharmacological.
4. What will you include in your plan of care? Include education and anticipatory guidance.
5. What is the follow-up for this patient? (3-5 days for pediatric patients, unless worsening symptoms). Include possible referrals (if needed).
Discussion 2
A 5-year-old male, accompanied by his mother, presents to the clinic with complaints of fevers and uncontrollable vomiting for the last 48 hours. The child is up to date with all vaccines, including rotavirus. The child is in daycare. The mother also reports the son has diarrhea. Mom denies any blood or mucus in the diarrhea.
1. What is your assessment and possible diagnosis do you suspect?
2. What are some GI differential diagnosis?
3. What tests would you perform in office?
4. What tests do you want to order for the patient?
5. What treatment protocol does he need? Non-pharmacological and Pharmacological.
6. What will you include in your plan of care? Include education and anticipatory guidance.
7. What is the follow-up for this patient? (3-5 days for pediatric patients, unless worsening symptoms). Include possible referrals (if needed).

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