Previously healthy 11 - year-old boy, presented to the EMS with a 2-hr history of abdominal pain & fever (103°F). He was well when he got up in the morning, developed fever at school & was sent home. Later, he had several episodes of diarrhea & non-bloody, non-bilious emesis.
No significant past history, No family history, No contact history, No travel history, No developmental delays & his vaccinations were up to date. On examination, temperature was 103°F, Heart rate 151 beats/minute, Respiratory rate 22 breaths / minute, O 2 saturation 98% in room air, conscious, alert, no acute distress, pupils were reactive, clear conjunctiva & neck was supple with no evidence of meningismus. Lungs were clear on auscultation, cardiac examination revealed tachycardia, abdomen was non tender, no guarding or rebound, CNS examination revealed no neurological deficit, skin didn't have any rash or…
