Case Study

CHIEF COMPLAINT: "My baby won't stop crying, and she feels hot."

History of Present Illness:

A 6-week-old infant is brought to the emergency room by her parents. They are worried because she feels hot and hasn't stopped crying since she woke up 10 hours ago. She has a decreased appetite (she hasn't eaten) and has been fussy, but is easily consoled. The number of wet diapers has decreased. Yesterday, she had a runny nose and sounded congested.

She was a term spontaneous vaginal delivery with no complications. Her mother received early prenatal care and was healthy throughout the pregnancy.

There have been no sick contacts at home. Neither parent smokes. They do not have pets. There is only city water in their household.

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