Janeya Stone Room 303

Janeya Stone, nine-month-old infant brought to the children’s hospital by her

parents as a direct admit from the pediatrician’s office. About two-weeks

ago, Janeya started having periods when she was very “fussy” and

inconsolable, long periods of irritability and vomiting not in response to

feedings. At first Janeya’s father thought it was the “flu.” Last week the

childcare provider noted an increase in irritability and vomiting, especially

after being moved. The parents and childcare provider noted that Janeya was

calmer, although still irritable, when left alone. When picked up or when

Janeya’s position was changed, Janeya cried vigorously. Today, at the

pediatrician’s office, Janeya’s symptoms continued, she is more lethargic,

and her head circumference was noted to be markedly increased from her

six-month-checkup. Janeya’s father described her as “floppy.” Janeya is

crying tears and her mucus membranes are pink or moist. Janeya is to be

admitted to the children’s hospital for a full work-up for increased intracranial

pressure, potentially due to hydrocephalus. Janeya is accompanied by her

two fathers on admission and they provide a health history that reflects a

normal spontaneous vaginal delivery via a surrogate, no significant health

issues except one otitis media at 7 months of age, and an allergy to

amoxicillin (reaction included a rash, increased drooling, and irritability).

You responded correctly to 4 out of 6 evaluations:

Janeya Stone peds - dsfdsf

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