University of Hawaii: Infant Colic
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Scan day: 13 February 2014 UTC
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Description: Written for medical students, lists red flags physicians look for that may indicate a medical problem.
Case Based Pediatrics For Medical Students and Residents Department of Pediatrics, University of Hawaii John A. Burns School of Medicine This is a 20 day old newborn that is brought to the emergency department at 10 pm with a chief complaint of extreme fussiness. His parents think he has abdominal pain as he is "gassy" and pulls his legs up as if he is trying to stool. He passes a lot of gas from his rectum and his parents can hear his stomach gurgling a lot. Tonight's episode has lasted for 4 hours with intractable crying, and his parents are very distraught. They have tried feeding, a pacifier, rocking, burping, changing the diaper, and inserting a rectal suppository but nothing has relieved the crying. He is currently feeding a standard cow's milk formula with iron without vomiting or diarrhea. Further questioning reveals this is the fourth day in a row that this has happened on a daily basis, usually in the evening, but the baby usually cries for about 2 to 3 hours.
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