Abdominal Pain and Anemia in a Child
Allison King, MD, MPH and John DiPersio, MD, PhD
Washington University School of Medicine, St. Louis, MO
This case was reviewed and updated in June 2013 by Dr. Ted Wun and members of the Teaching Cases Subcommittee.
Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.
II. PHYSICAL EXAM
|Height||100 cm (25th percentile on growth chart)|
|Weight||15 kg (25th percentile on growth chart)|
|Blood Pressure||100/60 mmHg|
|Oxygen Saturation Level||87% (normal range: 92%-98%) on room air|
|HEENT||Normocephalic, pupils reactive, tympanic membranes clear, oropharynx clear|
|Chest||Mild subcostal retractions. Audible rales at lung bases|
|Heart||Tachycardic with III/VI early-peaking crescendo-decrescendo murmur|
|Abdomen||Mild distension, decreased bowel sounds, diffusely tender to palpation|
|Genitourinary||Circumcised, no erection|
|Neurologic||Crying, alert boy. Face was symmetric. Moved all extremities.|
|Skin||No ulcers on the extremities|
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