Читать книгу Emergency Medicine Simulation Workbook - Группа авторов - Страница 18
Case Narrative Scenario Background
ОглавлениеA four‐week‐old preterm, female infant born by spontaneous vaginal delivery at 33 weeks of gestation, (birth weight 4 lbs (1.81 kg) presents to the ED for lethargy, decreased feeding, and vomiting with feeds. The patient was in NICU for four weeks but discharged to home three days ago. The patient's hospital stay was complicated by neonatal jaundice and temperature dysregulation, both of which were resolved prior to discharge. For the past two days, the patient's mother has noticed increased difficulty with feeding (formula fed), decreased PO intake, vomiting after feeds, and general sleepiness.
| Chief complaint: | Lethargy, decreased feeding, vomiting. |
| Patient's medical history: | Ex‐33 week, four‐day preemie (current age 37 weeks of gestational age, actual age 4 weeks 3 days). |
| Surgical history: | None. |
| Allergies: | None. |
| Medictions: | Vitamin D supplementation. |
| Social history: | Not in daycare, lives at home with mom; no siblings. |
| Family history: | None. |
