Molly is a 5 year-old girl who is brought by her parents to the pediatric emergency room with severe nausea, hematemesis, and abdominal pain. She had been playing “candy maker” in her parents’ room and an open medication bottle was found on the floor. The child is otherwise healthy. The parents, in their excitement forgot to bring the bottle.

Physical Exam:

Vital signs show a marked increase in respiratory frequency (hyperventilation), fever, but normal blood pressure. The remaining physical exam reveals a normal appearing 5 year-old girl with a flushed face, lethargy, dizziness, disorientation, dehydration, generalized petechiae, and abdominal pain.

Lab and X-ray

Molly seems like a pretty sick little girl.

Please clearly explain your comments and remember to have conversations with your classmates.

Firstly as a doctor, I will start by assessing her,by asking these questions age, health history, what she ate,  request for the medication bottle for examination and other helpful question from her guardian as the advocate to avoid ambiguity.